Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 01655 | MD |
NPI | 1386857233 |
---|---|
Provider Name | Dr. Asher A Rodriguez |
First Address | Hydes, MD 21082-9503 |
Second Address | Annapolis, MD 21401-3845 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2007 |
Last Update Date | 10/09/2009 |