Individual
MARIA J RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1103 GRAND AVE, NORTH BERGEN, NJ 07047-1616
(201) 232-3453
Mailing address
1103 GRAND AVE, NORTH BERGEN, NJ 07047-1616
(201) 232-3453
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA08837600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0267198
—
NJ
Enumeration date
10/11/2007
Last updated
07/10/2012
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