Most Relevant Information
Provider Data
| NPI Number: | 1003420977 |
| Provider Name: | MARIE ANJELIESE RODRIGUEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 125076921 |
Most Important Dates
| Enumeration Date: | 09/08/2020 |
| Last Updated: | 05/16/2023 |
Provider Practice Location
20 YORK ST
NEW HAVEN
CT
065103220
Practice Location Phone/Fax
| Phone: | 2036884242 |
| Fax: |
Provider Mailing Location
1901 W HARRISON ST
CHICAGO
IL
606123714
Provider Mailing Phone/Fax
| Phone: | 3128646000 |
| Fax: |
Suggested EMR
Internist EMR