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Individual

JOSE R RODRIGUEZ-MIRANDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-7390
Mailing address
PO BOX 810, HANOVER, NH 03755-0810
(603) 308-1472

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
34331
NH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35.091077
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
L2709
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2867385
OH
Enumeration date
05/16/2007
Last updated
07/01/2025
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