Individual
DR. DAVID THOMAS RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
504 VALLEY RD STE 201, WAYNE, NJ 07470-3534
(973) 446-7500
(973) 554-4922
Mailing address
504 VALLEY RD STE 201, WAYNE, NJ 07470-3534
(973) 446-7500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA11101600
NJ
207Q00000X
Family Medicine Physician
35.141464
OH
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
25MA11101600
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2018
Last updated
11/11/2022
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