Most Relevant Information
Provider Data
| NPI Number: | 1003554270 |
| Provider Name: | JYM CARLO RODRIGUEZ MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/26/2022 |
| Last Updated: | 08/03/2024 |
Provider Practice Location
847 EASTON RD
WARRINGTON
PA
189762906
Practice Location Phone/Fax
| Phone: | 7875191794 |
| Fax: |
Provider Mailing Location
595 W STATE ST
DOYLESTOWN
PA
189012597
Provider Mailing Phone/Fax
| Phone: | 7875191794 |
| Fax: |