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NPI Code Detail

MEDICARE: EMILY RODRIGUES

MEDICARE: EMILY RODRIGUES
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
1225100000XPhysical Therapist40QA02266800NJ

General Provider Information

NPI Number : 1114757937
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY RODRIGUES
Provider Business Mailing Address
First Line : 871 MOUNTAIN AVE STE 122
Second Line :
City : SPRINGFIELD
State : NJ
Zip : 07081-3434
Country : US
Telephone Number : 973-938-4100
Fax Number : 973-949-6144
Provider Business Practice Location Address
First Line : 280 ELM ST
Second Line :
City : NEWARK
State : NJ
Zip : 07105-2604
Country : US
Telephone Number : 862-348-9515
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2024
Last Update Date : 03/10/2026

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Directions to “ EMILY RODRIGUES ” Practice Location

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