Individual
DR. MAGDALENA TAN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5053 NEWTOWN RD, WOODSIDE, NY 11377-1731
(718) 334-6140
(718) 334-6137
Mailing address
7901 BROADWAY, MANAGED CARE, D1-01, ELMHURST, NY 11373-1329
(718) 334-1921
(718) 334-3432
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
199638
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330128
—
NY
Enumeration date
10/05/2006
Last updated
07/08/2007
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