Individual
MILTON R RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
256 S 10TH ST, PHILADELPHIA, PA 19107-5750
(215) 925-8099
(215) 592-0295
Mailing address
256 S 10TH ST, PHILADELPHIA, PA 19107-5750
(215) 925-8099
(215) 592-0295
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01962034
—
PA
Enumeration date
11/13/2007
Last updated
03/10/2008
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