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NPI Code Detail

MEDICARE: SURIN RODINO

MEDICARE: SURIN RODINO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner0024168874VA

General Provider Information

NPI Number : 1215280946
Entity Type Code : Individual
Provider Name (Legal Business Name) : SURIN RODINO
Provider Business Mailing Address
First Line : 5525 RESEARCH PARK DR
Second Line : 4TH FLOOR
City : BALTIMORE
State : MD
Zip : 21228-4873
Country : US
Telephone Number : 703-923-4644
Fax Number : 703-923-4625
Provider Business Practice Location Address
First Line : 7410 SPRING VILLAGE DR
Second Line :
City : SPRINGFIELD
State : VA
Zip : 22150-4485
Country : US
Telephone Number : 703-923-4644
Fax Number : 703-923-4625
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2012
Last Update Date : 05/06/2015

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Directions to “ SURIN RODINO ” Practice Location

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