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NPI Code Detail

MEDICARE: NEESHA RODRIGUES M.D.

MEDICARE: NEESHA RODRIGUES 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
12085R0001XRadiation Oncology PhysicianMD435481PA
22085R0001XRadiation Oncology Physician25MA08279100NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11790396281OTHERNJTITAN HEALTH GROUP NPI#

General Provider Information

NPI Number : 1760525133
Entity Type Code : Individual
Provider Name (Legal Business Name) : NEESHA RODRIGUES M.D.
Provider Business Mailing Address
First Line : 629 CRANBURY RD FL 2
Second Line :
City : EAST BRUNSWICK
State : NJ
Zip : 08816-4096
Country : US
Telephone Number : 732-390-7750
Fax Number : 732-390-7725
Provider Business Practice Location Address
First Line : 9 CENTRE DR STE 115
Second Line :
City : MONROE TWP
State : NJ
Zip : 08831-5153
Country : US
Telephone Number : 609-655-5755
Fax Number : 609-655-5725
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2007
Last Update Date : 05/22/2023

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Directions to “ NEESHA RODRIGUES M.D.” Practice Location

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