| Doctor Name: | MR. MICHAEL J RODIA |
| NPI Number: | 1912168097 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHYSICIAN ASSISTANT |
| License Number: | 010694 |
| Business Practice Address: | 333 Forsgate Dr Jamesburg, NJ - 088311567 |
| Business Phone Number: | 7325213131 |
| Business Fax Number: | 7325211116 |
| Mailing Address: | 1315 Mallard Dr, MARTINSVILLE |
| State: | NJ |
| Postal Code: | 088362133 |
| Phone Number: | 7324399769 |
| Fax Number: | |
| NPI Enumeration Date: | 06/20/2008 |
| NPI Last Update Date: | 08/13/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 010694 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |