Organization
GEORGE L RODRIGUEZ MD PC
Active
Other names
Injury Rehabilitation Centers of Pennsylvania
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN C BAMBA (OFFICE MANAGER)
(215) 425-1500
Entity
Organization
Contact information
Practice address
2487 GRANT AVENUE, PHILADELPHIA, PA 19114
(215) 464-0150
(215) 464-0174
Mailing address
841 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-2401
(215) 425-1500
(215) 425-1659
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD 045274E
PA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD 036647E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045575900
INDEPENDENCE BLUE CROSS/PERSONAL CHOICE
PA
Enumeration date
05/11/2007
Last updated
06/27/2008
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