Ismelda Rodriguez

NPI #1013309095 in North Bergen, New Jersey

Provider Information

NPI Number: 1013309095
Entity Type: Individual
Name: Ismelda Rodriguez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Feb 26, 2015
Last Updated: Feb 26, 2015

Practice Location

Address: 9122 COLUMBIA AVE
City: North Bergen
State: New Jersey
ZIP Code: 07047-4432
Phone: (646) 342-8626

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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