Rodrigues, Sandro R

Rodrigues, Sandro R is an sole proprietor health care provider with primary practice located at 206 East Brown Street , East Stroudsburg PA 18301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Rodrigues, Sandro R can be contacted via phone (570) 421-4000.

Contact Information

Primary practice address
206 East Brown Street East Stroudsburg PA 18301
Phone: (570) 421-4000
Fax: (570) 476-6213
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 045602 Connecticut
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD435171 Pennsylvania

Profile Details

NPI number 1457528697
LBN Legal business name Rodrigues, Sandro R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2008
Last updated May 3rd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457528697 NPPES
Pennsylvania MEDICAID 102198246

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