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Individual

JAEL RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4742
(401) 444-4445
Mailing address
17 VIRGINIA AVE 107, PROVIDENCE, RI 02905-4406
(401) 784-4923

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD14991
RI

Other

Enumeration date
05/24/2012
Last updated
07/05/2015
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