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Individual

MARIO RODENAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6 DEVINE ST STE 2B, NORTH HAVEN, CT 06473-2222
(203) 287-6200
Mailing address
6 DEVINE ST STE 2B, NORTH HAVEN, CT 06473-2222
(203) 287-6200

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
045989
CT
207K00000X
Allergy & Immunology Physician
ME126080
FL
207R00000X
Internal Medicine Physician
045989
CT
207R00000X
Internal Medicine Physician
ME126080
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016920600
FL
Enumeration date
05/15/2007
Last updated
02/21/2023
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