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Dr. Juan Vitelio Rodriguez, MD

Pathology, Clinical Pathology in New Haven, CT. Individual provider (NPI-1).

NPI number1407242548
StatusActive
Last updated in NPPESMar 7, 2023

Details

NPI
1407242548
Entity type
Individual (NPI-1)
Name
Dr. Juan Vitelio Rodriguez
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 15, 2015
Certification date
Mar 7, 2023
Last updated
Mar 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZC0006X Pathology, Clinical PathologyT9025TXYes

Practice location

20 York St
New Haven, CT 06510-3220

Phone 203-688-4242

Mailing address

12436 N Sandby Green Dr
Marana, AZ 85653-8970

Phone 619-709-4848

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