Individual
MR. SANTIAGO MARTIN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
750 VALLEY BROOK AVE # 7071, LYNDHURST, NJ 07071-1301
(201) 896-0900
Mailing address
507 BLOOMFIELD AVE APT 5G, CALDWELL, NJ 07006-5416
(973) 525-6894
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15050200
NJ
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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