Organization
RODOLFO L. RODRIGUEZ, O.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODOLFO LAZARO RODRIGUEZ O.D. (PRESIDENT/PHYSICIAN)
(201) 295-2020
Entity
Organization
Contact information
Practice address
7922 KENNEDY BLVD, NORTH BERGEN, NJ 07047-4175
(201) 295-2020
(201) 295-0804
Mailing address
7922 KENNEDY BLVD, NORTH BERGEN, NJ 07047-4175
(201) 295-2020
(201) 295-0804
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00424200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295900
—
NJ
Enumeration date
01/21/2010
Last updated
01/21/2010
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