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George L. Rodriguez, M.d., P.c.

George L. Rodriguez, M.d., P.c. is a health care provider in Philadelphia, PA. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 1326 Macdade Blvd, Woodlyn, PA 19094-1500, US
Practice Location Phone215-425-1500
Practice Location Fax215-425-1659
Legal Business NameGEORGE L. RODRIGUEZ, M.D., P.C.
Other Organization Name TypeDoing Business As Name
NPI ?1013142728
Entity TypeOrganization
Enumeration Date ? May 26, 2009
Last Update Date ? Jun 24, 2009
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of George L. Rodriguez, M.d., P.c.

SpecialtySpecializationLicenseLicense State
Internal Medicine MD 045274EPennsylvania
Internal Medicine
Physical Medicine & Rehabilitation MD 036647EPennsylvania
Physical Medicine & Rehabilitation

legacy-id-icon Legacy Provider IDs of George L. Rodriguez, M.d., P.c.

Provider IdIssuer StateIssuer TypeIssuer
0455759000PennsylvaniaOtherINDEPENDENCE BLUE CROSS

official-icon Authorized Official of George L. Rodriguez, M.d., P.c.

An authorized official is an appointed official with the legal authority to make changes and/or updates to the George L. Rodriguez, M.d., P.c.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Ms. Ellen C. Bamba
Authorized Official Title/PositionPRACTICE ADMINISTRATOR
Authorized Official Phone Number215-425-1500