Individual
MICHAEL J RODIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
J2 BRIER HILL CT, EAST BRUNSWICK, NJ 08816-3340
(732) 390-7750
(732) 390-7725
Mailing address
J2 BRIER HILL CT, EAST BRUNSWICK, NJ 08816-3340
(732) 390-7750
(732) 390-7725
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
010694
NY
363AM0700X
Medical Physician Assistant
Primary
25MP00206100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790396281
TITAN HEALTH GROUP NPI#
NJ
Enumeration date
06/20/2008
Last updated
04/20/2021
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