Provider Demographics
NPI:1164868758
Name:RODRIGUEZ, ALISON CHRISTINA
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:CHRISTINA
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 EDGMONT AVE STE 1500
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19013-3962
Mailing Address - Country:US
Mailing Address - Phone:610-619-8290
Mailing Address - Fax:610-619-8288
Practice Address - Street 1:1 MEDICAL CENTER BLVD STE 334
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013
Practice Address - Country:US
Practice Address - Phone:610-872-7660
Practice Address - Fax:610-579-3552
Is Sole Proprietor?:No
Enumeration Date:2013-05-22
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD462059207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology