Individual
RODWIGE J DESNOYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
925 CHESTUNUT STREET, SUITE 320A, PHILADELPHIA, PA 19107
(215) 955-1175
Mailing address
925 CHESTNUT ST, SUITE 320A, PHILADELPHIA, PA 19107-4216
(215) 955-8874
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD061162L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0311987
—
NJ
05
—
102448400
—
PA
01
—
2076578000
INDEPENDENCE BLUE CROSS
PA
01
—
52134
AETNA
PA
01
—
P00086966
PALMETTO GBA RAILROAD MEDICARE
PA
Enumeration date
08/31/2006
Last updated
02/18/2013
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