Jaclyn Beronilla Rodriguez, D.O. Valid NPI

Individual provider · Sports Medicine (Family Medicine) Physician · Marlton, NJ

NPI

1750762027

Type

Individual (Type 1)

Primary specialty

Sports Medicine (Family Medicine) Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207QS0010X

License number

25MB11321900 (NJ)

Sex

Female

Sole proprietor

Yes

Enumerated

2015-06-12

Last updated

2025-06-27