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NPI Code Detail

MEDICARE: DR. ANGEL A CAMPOS RODRIGUEZ MD

MEDICARE: DR. ANGEL A CAMPOS RODRIGUEZ MD
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
1208M00000XHospitalist Physician1022363MA

General Provider Information

NPI Number : 1912656919
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANGEL A CAMPOS RODRIGUEZ MD
Provider Business Mailing Address
First Line : 330 BROOKLINE AVE # SPAN2
Second Line :
City : BOSTON
State : MA
Zip : 02215-5491
Country : US
Telephone Number : 617-754-4677
Fax Number :
Provider Business Practice Location Address
First Line : 330 BROOKLINE AVE # SPAN2
Second Line :
City : BOSTON
State : MA
Zip : 02215-5491
Country : US
Telephone Number : 617-754-4677
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2022
Last Update Date : 12/17/2025

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