Individual
DR. DAVID ANTONIO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12070 OLD LINE CTR STE 205, WALDORF, MD 20602-2567
(301) 659-0003
Mailing address
12070 OLD LINE CTR STE 205, WALDORF, MD 20602-2567
(301) 659-0003
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
H0052714
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
162940
MEDICARE PTAN
MD
01
—
490812
MEDICARE PTAN
DC
Enumeration date
02/15/2007
Last updated
08/30/2023
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