Individual
JOSEPH LEWIS RODGERS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
66 PAVILION AVE, PROVIDENCE, RI 02905-1522
(401) 461-9110
(401) 461-9194
Mailing address
1463 FRENCHTOWN RD, EAST GREENWICH, RI 02818-1310
(401) 885-8512
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
MD10279
RI
Other
Enumeration date
08/30/2006
Last updated
08/31/2011
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