Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | MD034548E | PA |
NPI | 1073588067 |
---|---|
Provider Name | Dr. Eric G Rodriguez |
First Address | Pittsburgh, PA 15213-2546 |
Second Address | Pittsburgh, PA 15213-2546 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2006 |
Last Update Date | 29/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C33079 | (02) | PA |