Individual
DR. ALLAN J RODRIGUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
136 SHERMAN AVE, SUITE 205, NEW HAVEN, CT 06511-5238
(203) 787-5115
(203) 787-9736
Mailing address
136 SHERMAN AVE, SUITE 205, NEW HAVEN, CT 06511-5238
(203) 787-5115
(203) 787-9736
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
33716
CT
207R00000X
Internal Medicine Physician
033716
CT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
033716
CT
207RP1001X
Pulmonary Disease Physician
033716
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1337163
—
CT
Enumeration date
06/04/2006
Last updated
09/03/2020
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