Rodericks, Deirdre

Rodericks, Deirdre is an sole proprietor health care provider with primary practice located at 159 Wells Ave , Newton MA 02459-3301. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Rodericks, Deirdre can be contacted via phone (617) 243-5777.

Contact Information

Primary practice address
159 Wells Ave Newton MA 02459-3301
Phone: (617) 243-5777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 267300 Massachusetts
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 125069738 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 290185 Massachusetts

Profile Details

NPI number 1619330966
LBN Legal business name Rodericks, Deirdre
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2016
Last updated Oct 5th, 2021 - 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.

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