Individual
ADONIS RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7000
Mailing address
180 GREEN ST, WOODBRIDGE, NJ 07095-2134
(732) 881-7747
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ01214700
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ01214700
NJ
Other
Enumeration date
10/16/2021
Last updated
04/10/2024
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