Individual
GUILLERMO L RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
175 S WILKES BARRE BLVD, WILKES BARRE, PA 18702-5040
(570) 829-2621
(570) 823-4332
Mailing address
141 N VINE ST, HAZLETON, PA 18201-5852
(570) 454-0500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD060768L
PA
Other
Enumeration date
08/15/2005
Last updated
10/11/2023
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