Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MT220407 | PA |
Y | 111NI0900X | Internist | MT220407 | PA |
NPI | 1003438870 |
---|---|
Provider Name | Aaron Rodas |
First Address | Hackensack, NJ 07601-3605 |
Second Address | Bristol, PA 19007-3190 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2020 |
Last Update Date | 14/05/2020 |