Provider Demographics
NPI:1114907805
Name:RODDY, HUGH J (MD)
Entity Type:Individual
Prefix:DR
First Name:HUGH
Middle Name:J
Last Name:RODDY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7111 FAIRWAY DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-4204
Mailing Address - Country:US
Mailing Address - Phone:561-712-6265
Mailing Address - Fax:561-712-7349
Practice Address - Street 1:10011 CENTENNIAL PKWY
Practice Address - Street 2:SUITE 300
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84070-4156
Practice Address - Country:US
Practice Address - Phone:801-256-0040
Practice Address - Fax:801-256-0050
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2007-10-30
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Provider Licenses
StateLicense IDTaxonomies
UT58885771205207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTD35916Medicare UPIN