Godinez, Rodolfo I

Godinez, Rodolfo I is an sole proprietor health care provider with primary practice located at 1036 Sproul Rd , Bryn Mawr PA 19010-2028. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is his primary health care specialty. Godinez, Rodolfo I can be contacted via phone (610) 527-2665.

Contact Information

Primary practice address
1036 Sproul Rd Bryn Mawr PA 19010-2028
Fax: (610) 527-2665
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD020270E Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD020270E Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X MD020270E Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X MD020270E Pennsylvania

Profile Details

NPI number 1205940772
LBN Legal business name Godinez, Rodolfo I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2006
Last updated Aug 26th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205940772 NPPES
Pennsylvania MEDICAID 0006843530

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