Individual provider · Type 1 NPI

Timothy Paul Roderiques

Private Vehicle · New Bedford, MA

NPI number 1912479007 Active

Practice location

48 Ocean St
New Bedford, MA 02740-3555

Call (508) 509-0631 Map

Specialties and licenses

TaxonomyCodeLicense
Private Vehicle Primary 347C00000XS79139087 (MA)

Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

About NPI 1912479007

Timothy Paul Roderiques's National Provider Identifier is 1912479007, issued on Dec 30, 2018. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in New Bedford, MA. The record was last updated on Dec 30, 2018.