Individual
DR. REYNALDO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3324 HARNESS CREEK RD, ANNAPOLIS, MD 21403-1618
(410) 991-9314
Mailing address
PO BOX 3570, ANNAPOLIS, MD 21403
(410) 991-9314
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
D0025678
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D0025678
—
MD
Enumeration date
07/10/2012
Last updated
07/10/2012
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