Individual
DR. PAUL M RODENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
631 COX RD, GASTONIA, NC 28054-3438
(704) 864-7764
(704) 867-7894
Mailing address
9735 KINCEY AVE STE 201, HUNTERSVILLE, NC 28078-9118
(704) 414-2870
(704) 414-2860
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD419357
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1123222
—
PA
01
—
1539492
GATEWAY
—
01
—
1612733
HIGHMARK BLUE SHIELD
PA
01
—
200700992
NORTH CAROLINA MEDICAL
NC
01
—
410300
UPMC
PA
01
—
P00145053
RAILROAD MEDICARE
—
Enumeration date
09/14/2006
Last updated
06/17/2011
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