Individual
MINNA LEYDORF RODRIGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22 S GREENE ST # S6ABC, BALTIMORE, MD 21201-1544
(410) 706-5181
(410) 225-9405
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0091300
MD
390200000X
Student in an Organized Health Care Education/Training Program
D91300
MD
Other
Enumeration date
03/29/2018
Last updated
07/09/2024
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