Rodriguez, Ricardo E

Rodriguez, Ricardo E is an sole proprietor health care provider with primary practice located at 318 E Westfield Ave , Roselle Park NJ 07204-2318. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Rodriguez, Ricardo E can be contacted via phone (908) 245-2229.

Contact Information

Primary practice address
318 E Westfield Ave Roselle Park NJ 07204-2318
Fax: (908) 245-2384
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA52970 New Jersey
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 25MA05297000 New Jersey

Profile Details

NPI number 1467471821
LBN Legal business name Rodriguez, Ricardo E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Dec 12th, 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 1467471821 NPPES
New Jersey MEDICAID 1707400

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