Rodriguez, Leonel A

Rodriguez, Leonel A is an individual health care provider with primary practice located at 1 Park St , New Haven CT 06504-8901. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Rodriguez, Leonel A can be contacted via phone (203) 785-4649.

Contact Information

Primary practice address
1 Park St New Haven CT 06504-8901
Fax: (203) 737-1384
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 64286 Connecticut
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 64286 Connecticut

Profile Details

NPI number 1063493914
LBN Legal business name Rodriguez, Leonel A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Sep 30th, 2019 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063493914 NPPES
Massachusetts Other 468756 TUFTS HEALTH PLAN
Massachusetts Other J27116 TUFTS HEALTH PLAN
Massachusetts MEDICAID 2029791 TUFTS HEALTH PLAN

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