Individual
MARISA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
189 EAGLE ROCK AVE, ROSELAND, NJ 07068-1347
(973) 441-1324
Mailing address
542 SUMMER AVE APT 3, NEWARK, NJ 07104-5473
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ15417200
NJ
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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