Individual
MICHAEL JOSE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
175 SHERMAN AVE, NEW HAVEN, CT 06511-4357
(203) 789-3363
(203) 789-4081
Mailing address
41 RIVERCLIFF DR, MILFORD, CT 06460-5025
(203) 809-4504
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
140147
CT
363LF0000X
Family Nurse Practitioner
Primary
11260
CT
Other
Enumeration date
09/26/2022
Last updated
05/10/2024
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