Individual
MR. RODERICK JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4755 OGLETOWN STANTON ROAD, SUITE 1320, NEWARK, DE 19718-2200
(302) 733-4280
(302) 733-4287
Mailing address
1569 BRUCKNER BLVD APT 2F, BRONX, NY 10472-6436
(917) 270-0547
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0012053
DE
363AS0400X
Surgical Physician Assistant
008516
NY
Other
Enumeration date
10/12/2006
Last updated
10/29/2024
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