IndividualActive
Deirdre Rodericks, M.D.
NPI 1619330966 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Newton, MA
Provider details
- NPI number
- 1619330966
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 267300 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
159 Wells Ave
Newton, MA 02459-3301
Phone: (617) 243-5777
Approximate (ZIP-level) locationGet directions
Mailing address
300 1st Ave
Charlestown, MA 02129-3109
Registry dates
- Enumerated
- 2016-04-04
- Last updated
- 2021-10-05
- Certified
- 2021-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.