Individual
RODOLFO L. RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7922 KENNEDY BLVD, OPTOMETRIC PHYSICIAN, NORTH BERGEN, NJ 07047-4175
(201) 295-2020
(201) 295-0804
Mailing address
7922 KENNEDY BLVD, OPTOMETRIC PHYSICIAN, NORTH BERGEN, NJ 07047-4175
(201) 295-2020
(201) 295-0804
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA004242
NJ
Other
Enumeration date
06/06/2006
Last updated
11/24/2010
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