Organization
GEORGE L. RODRIGUEZ, M.D., PC
Active
Other names
Advanced Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
SIDNEY ZILBER (ADMINISTRATIVE DIRECTOR)
(215) 473-1500
Entity
Organization
Contact information
Practice address
70 E SWEDESFORD RD, SUITE 125, MALVERN, PA 19355-1436
(610) 647-6701
Mailing address
841 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-2401
(215) 425-1500
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045575900
INDEPENDENCE BLUE CROSS
PA
Enumeration date
02/08/2011
Last updated
02/08/2011
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