Individual
RODWAN K RAJJOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
904 CAMPBELL ST, SUITE 104, WILLIAMSPORT, PA 17701-3154
(570) 326-2035
(570) 326-9220
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD038209L
PA
207T00000X
Neurological Surgery Physician
Primary
MD038209L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008460030003
—
PA
Enumeration date
02/22/2006
Last updated
02/27/2017
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