Individual
MERVYN M RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1028 HOOPER AVE, TOMS RIVER, NJ 08753-8321
(732) 349-8866
(732) 349-7842
Mailing address
1028 HOOPER AVE, TOMS RIVER, NJ 08753-8321
(732) 349-8866
(732) 349-7842
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA29195
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2013703
—
NJ
Enumeration date
01/30/2006
Last updated
07/08/2007
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