Provider Demographics
NPI:1477853844
Name:RODOLFO A MUNERA
Entity Type:Organization
Organization Name:RODOLFO A MUNERA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RODOLFO
Authorized Official - Middle Name:A
Authorized Official - Last Name:MUNERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-472-8000
Mailing Address - Street 1:40 MITCHELL AVE
Mailing Address - Street 2:
Mailing Address - City:WEST CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-7806
Mailing Address - Country:US
Mailing Address - Phone:973-472-8000
Mailing Address - Fax:973-472-5900
Practice Address - Street 1:1001 CLIFTON AVE
Practice Address - Street 2:STE 1B
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-3586
Practice Address - Country:US
Practice Address - Phone:973-472-8000
Practice Address - Fax:973-472-5900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-01
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06013600207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty