Rodriguez, Ana M.

Rodriguez, Ana M. is an sole proprietor health care provider with primary practice located at 1119 Broad St , Newark NJ 07114-2501. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Rodriguez, Ana M. can be contacted via phone (201) 926-6899.

Contact Information

Primary practice address
1119 Broad St Newark NJ 07114-2501
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA064780 New Jersey
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MA064780 New Jersey

Profile Details

NPI number 1710104922
LBN Legal business name Rodriguez, Ana M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2007
Last updated Jan 16th, 2017 - about 8 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 1710104922 NPPES
New Jersey MEDICAID 7269005

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