Individual
MR. ALFONSO I RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1130 HIGHWAY 315, WILKESBARRE, PA 18702-6952
(570) 823-8896
(570) 823-1291
Mailing address
1130 HIGHWAY 315, WILKESBARRE, PA 18702-6952
(570) 823-8896
(570) 823-1291
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
MD038750E
PA
208M00000X
Hospitalist Physician
Primary
MD038750E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001088784
—
PA
Enumeration date
10/12/2006
Last updated
03/24/2020
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