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
Phone: (203) 785-4649
Fax: (203) 737-1384
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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