Provider Information for 1912099920
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Mr. RICARDO LUIS RODRIGUEZ MD
Sex: Male
NPI: 1912099920
Last Updated: 2007-09-17
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1912099920 | ||||||||
| Enumeration Date | 2006-09-28 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1300 BELLONA AVE SUITE C LUTHERVILLE, MD 21093-5465 United States Phone: 410-494-8100 | Fax:410-494-0815 | ||||||||
| Primary Practice Address | 1300 BELLONA AVE SUITE C LUTHERVILLE, MD 21093-5465 United States Phone: 410-494-8100 | Fax:410-494-0815 | ||||||||
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