Healthcare Provider Details

I. General information

NPI: 1518200344
Provider Name (Legal Business Name): SOL L RODRIGUEZ-FERENCE DVM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2013
Last Update Date: 03/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

152 ALDEN ST
FAIRFIELD CT
06824-6416
US

IV. Provider business mailing address

152 ALDEN ST
FAIRFIELD CT
06824-6416
US

V. Phone/Fax

Practice location:
  • Phone: 203-260-1131
  • Fax:
Mailing address:
  • Phone: 203-260-1131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174M00000X
TaxonomyVeterinarian
License Number3306
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: