Individual
LISMERY RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 BERGEN AVE, BERGENFIELD, NJ 07621-2423
(917) 854-0303
(914) 327-4605
Mailing address
120 BERGEN AVE, BERGENFIELD, NJ 07621-2423
(917) 854-0303
(914) 327-4605
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NJ
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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