Maldonado, Rodolfo
Maldonado, Rodolfo is an sole proprietor health care provider with primary practice located at 408 New Brunswick Ave , Fords NJ 08863-2110. He recently has 2 registered licenses in different health care specialties including Managed Care Organizations / Point of Service, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Maldonado, Rodolfo can be contacted via phone (732) 826-1609.Contact Information
Primary practice address
408 New Brunswick Ave
Fords NJ 08863-2110
Phone: (732) 826-1609
Fax: (732) 826-0075
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Managed Care Organizations / Point of Service | 305S00000X | 25MA07792000 | New Jersey |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA07792000 | New Jersey |
Profile Details
| NPI number | 1093823668 |
|---|---|
| LBN Legal business name | Maldonado, Rodolfo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Jun 10th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093823668 | NPPES |
| New Jersey | MEDICAID | 0080012 | |
| New Jersey | Other | P00780649 |
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