Rodman, Mitchell S

Rodman, Mitchell S is an individual health care provider with primary practice located at 24 N Bryn Mawr Ave # 171 , Bryn Mawr PA 19010-3304. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Rodman, Mitchell S can be contacted via phone (484) 431-4022.

Contact Information

Primary practice address
24 N Bryn Mawr Ave # 171 Bryn Mawr PA 19010-3304
Phone: (484) 431-4022
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X MD040732E Pennsylvania
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD040732E Pennsylvania

Profile Details

NPI number 1851389043
LBN Legal business name Rodman, Mitchell S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Mar 7th, 2011 - about 14 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 1851389043 NPPES
Pennsylvania MEDICAID 0018616030001

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