Individual
DR. RAUL VIRGINIO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 2ND AVE FL 3, LONG BRANCH, NJ 07740-6303
(732) 923-7350
(732) 923-7946
Mailing address
1840 CARRIAGE LN, CHARLESTON, SC 29407-6068
(786) 600-9867
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA12333300
NJ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD477921
PA
Other
Enumeration date
03/23/2018
Last updated
07/23/2024
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