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Individual

ANA M. RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1119 BROAD ST, NEWARK, NJ 07114-2501
(201) 926-6899
Mailing address
P.O. BOX 5733, NEWARK, NJ 07105-7733
(201) 926-6899
(201) 926-6899

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MA064780
NJ
207RI0200X
Infectious Disease Physician
Primary
MA064780
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7269005
NJ
Enumeration date
04/19/2007
Last updated
01/16/2017
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