Healthcare Provider Details

I. General information

NPI: 1740613371
Provider Name (Legal Business Name): ANTHONY CARL RODRIGUES MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2013
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 WASHINGTON ST
FOXBORO MA
02035-1072
US

IV. Provider business mailing address

115 NORWOOD PARK S STE 106
NORWOOD MA
02062-4633
US

V. Phone/Fax

Practice location:
  • Phone: 781-551-5812
  • Fax: 508-698-8671
Mailing address:
  • Phone: 781-352-4777
  • Fax: 781-352-4778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License NumberMD18791
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number241243
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: