IndividualActive
Martin Rodriguez Wong
NPI 1235006040 · Medical Laboratory Technician · Rutland, VT
Provider details
- NPI number
- 1235006040
- Entity type
- Individual
- Primary specialty
- Medical Laboratory TechnicianTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 226742
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
34 Ronaldo Ct
Rutland, VT 05701-4239
Phone: (510) 599-5295
Approximate (ZIP-level) locationGet directions
Mailing address
34 Ronaldo Ct
Rutland, VT 05701-4239
Registry dates
- Enumerated
- 2025-10-17
- Last updated
- 2025-10-17
- Certified
- 2025-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.