Individual
ELVIS R RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(860) 647-6459
Mailing address
PO BOX 417297, BOSTON, MA 02241-7297
(866) 623-3869
(302) 733-0854
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
052831
CT
Other
Enumeration date
06/25/2008
Last updated
08/14/2014
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