Whalio Doctors

NPI 1619330966

Deirdre Rodericks, MD

Practitioner Sports Medicine (Physical Medicine & Rehabilitation) Physician Newton, MA

Practice location

Address
159 Wells Ave, Newton, MA 02459-3301
Phone
(617) 243-5777
Mailing address
300 1st Ave, Charlestown, MA 02129-3109

Registered specialties (4)

Sports Medicine (Physical Medicine & Rehabilitation) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2081S0010X Licence 290185 (MA)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 267300 (MA)
Physical Medicine & Rehabilitation Physician
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 125069738 (IL)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1619330966
Entity type
Individual
Sex (as registered)
Female
NPI issued
4 Apr 2016
Record last updated
5 Oct 2021

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.