Provider Demographics
NPI:1952490963
Name:RODRIGUEZ-PENA, CLAUDIA M (DDS)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:M
Last Name:RODRIGUEZ-PENA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 MORRIS AVE
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07208-3615
Mailing Address - Country:US
Mailing Address - Phone:908-355-0300
Mailing Address - Fax:908-355-3969
Practice Address - Street 1:324 MORRIS AVE
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07208-3615
Practice Address - Country:US
Practice Address - Phone:908-355-0300
Practice Address - Fax:908-355-3969
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI020318001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice