Individual
FABIAN ANTONIO RODRIGUEZ QUINONEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5501 OLD YORK RD STE 1, PHILADELPHIA, PA 19141-3098
(215) 456-7890
Mailing address
5501 OLD YORK RD STE 1, PHILADELPHIA, PA 19141-3098
(215) 456-7890
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD479368
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT216935
PA
Other
Enumeration date
06/27/2018
Last updated
09/05/2023
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