Rodriguez, Anthony R

Rodriguez, Anthony R is an individual health care provider with primary practice located at 826 N Broad St , Lansdale PA 19446-2321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rodriguez, Anthony R can be contacted via phone (215) 855-1054.

Contact Information

Primary practice address
826 N Broad St Lansdale PA 19446-2321
Fax: (215) 361-7445
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD045520L Pennsylvania

Profile Details

NPI number 1265430870
LBN Legal business name Rodriguez, Anthony R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Feb 14th, 2022 - about 2 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 1265430870 NPPES
Pennsylvania MEDICAID 01467300

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