Individual
DR. JUAN VITELIO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
12436 N SANDBY GREEN DR, MARANA, AZ 85653-8970
(619) 709-4848
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
T9025
TX
Other
Enumeration date
04/15/2015
Last updated
03/07/2023
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