Provider Demographics
NPI:1457614752
Name:RODRIGUEZ, ALEJANDRA MARIA (MS CGC)
Entity Type:Individual
Prefix:MRS
First Name:ALEJANDRA
Middle Name:MARIA
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:MS CGC
Other - Prefix:MS
Other - First Name:ALEJANDRA
Other - Middle Name:NARUA
Other - Last Name:GOMEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CGC
Mailing Address - Street 1:210 LIVINGSTON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW PROVIDENCE
Mailing Address - State:NJ
Mailing Address - Zip Code:07974-2260
Mailing Address - Country:US
Mailing Address - Phone:973-580-6972
Mailing Address - Fax:973-324-4867
Practice Address - Street 1:94 OLD SHORT HILLS RD RM 1748B
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-5672
Practice Address - Country:US
Practice Address - Phone:973-322-8601
Practice Address - Fax:973-324-4867
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-21
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS