| Provider / Organization | NPI | Date Certified |
|---|---|---|
| RAUL VIRGINIO RODRIGUEZ | 1992209928 | 2023-05-06 |
Raul Virginio Rodriguez is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1992209928. Registration indicates Raul Virginio Rodriguez is a provider of services with a specialization in Anatomic Pathology & Clinical Pathology (Pathology) (Allopathic & Osteopathic Physicians, Pathology) (Pathology: Anatomic Pathology & Clinical Pathology, ) (All Other Specialties & Provider Types, ) (Pathology Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians) (Pathology, ) (Student, Health Care, Student in an Organized Health Care Education/Training Program) (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Raul Virginio Rodriguez |
| Practice Office Address | 150 BERGEN ST # 155 NEWARK, NJ US |
| Practice Office Telephone | 9739725722 |
| Mailing Address | 1100 S BROAD ST PHILADELPHIA, PA 191465024 US |
| Business Telephone | 7866009867 |
| Code | Practice | License No State |
|---|---|---|
| 207ZP0102X | Anatomic Pathology & Clinical Pathology (Pathology), Allopathic & Osteopathic Physicians Pathology Pathology: Anatomic Pathology & Clinical Pathology All Other Specialties & Provider Types Pathology Anatomic Pathology & Clinical Pathology Allopathic & Osteopathic Physicians Pathology | MD477921
PA |
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |