NPI 1003064510

Wilton Ivan Rodriguez, MD

Practitioner Student in an Organized Health Care Education/Training Program New York, NY

Practice location

Address: 144 W 12th St, New York, NY 10011-8202
Phone: (212) 604-7778
Mailing address: 234 10th St APT 510, Jersey City, NJ 07302-1431

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in New York →

Registry record

NPI: 1003064510
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Sep 2008
Record last updated: 9 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.