Individual
DR. SANDRO R RODRIGUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
206 EAST BROWN STREET, EAST STROUDSBURG, PA 18301
(570) 421-4000
(570) 476-6213
Mailing address
95 HIGHLAND AVE, STE 130, BETHLEHEM, PA 18017-9483
(610) 868-1100
(610) 868-1111
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
045602
CT
2085R0202X
Diagnostic Radiology Physician
Primary
MD435171
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102198246
—
PA
Enumeration date
05/15/2008
Last updated
05/03/2016
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