Provider Demographics
NPI:1275753436
Name:RODRIGUEZ-FRANK, LAURA V (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:V
Last Name:RODRIGUEZ-FRANK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:MIDLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07432-1854
Mailing Address - Country:US
Mailing Address - Phone:201-847-0582
Mailing Address - Fax:
Practice Address - Street 1:225 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:MIDLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:07432-1854
Practice Address - Country:US
Practice Address - Phone:201-445-7400
Practice Address - Fax:201-447-9553
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA055279002084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry