| Organization Name: | GEORGE L. RODRIGUEZ, M.D., PC |
| NPI Number: | 1053617027 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SIDNEY ZILBER (ADMINISTRATIVE DIRECTOR) |
| Mailing Address: | 50 Monument Rd Suite 100 Bala Cynwyd |
| State: | PA US |
| Postal Code: | 190041723 |
| Phone Number: | 6106606161 |
| Fax Number: | |
| NPI Enumeration Date: | 02/08/2011 |
| NPI Last Update Date: | 02/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
| Taxonomy Definition: | |