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NPI Code Detail

MEDICARE: RODICA CONSTANTIN M.D.

MEDICARE:   RODICA  CONSTANTIN  M.D.
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
12080N0001XNeonatal-Perinatal Medicine Physician036125962IL
22080N0001XNeonatal-Perinatal Medicine Physician15017NV

General Provider Information

NPI Number : 1174732168
Entity Type Code : Individual
Provider Name (Legal Business Name) : RODICA CONSTANTIN M.D.
Provider Business Mailing Address
First Line : 10287 JAMAPA DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89178-4028
Country : US
Telephone Number : 410-371-0923
Fax Number :
Provider Business Practice Location Address
First Line : 10287 JAMAPA DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89178-4028
Country : US
Telephone Number : 410-371-0923
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2007
Last Update Date : 08/08/2014

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Directions to “ RODICA CONSTANTIN M.D.” Practice Location

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