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Individual

JUSTIN RODANTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
10 CENTER DRIVE BUILDING 10 CRC MSC 1476, ROOM 5-3140, BETHESDA, MD 20892-0001
(301) 827-6417
Mailing address
10 CENTER DRIVE MSC 1476, ROOM 5-3140, BETHESDA, MD 20892-0001
(301) 827-6417

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA30321
DC
363AM0700X
Medical Physician Assistant
Primary
C05297
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
024905300
DC
Enumeration date
01/24/2007
Last updated
05/31/2016
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