Organization
DR. RICARDO E. RODRIGUEZ, M.D, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO E RODRIGUEZ M.D. (OWNER)
(908) 245-2229
Entity
Organization
Contact information
Practice address
318 E WESTFIELD AVE, ROSELLE PARK, NJ 07204-2318
(908) 245-2229
(908) 245-2384
Mailing address
318 E WESTFIELD AVE, ROSELLE PARK, NJ 07204-2318
(908) 245-2229
(908) 245-2384
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MA52970
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1707400
—
NJ
Enumeration date
04/29/2008
Last updated
07/03/2008
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