Individual
DR. STANCIE C. RHODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 SPRINGFIELD AVENUE, SUITE 3A, SUMMIT, NJ 07901
(908) 202-6942
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(908) 202-6942
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA08753400
NJ
208600000X
Surgery Physician
D0065118
MD
208600000X
Surgery Physician
MD036519
DC
208600000X
Surgery Physician
TL38211
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0237353
—
NJ
01
—
P00883890
RR MCR PTAN
NJ
01
—
P01117753
RAILROAD MEDICARE
NJ
Enumeration date
04/17/2007
Last updated
10/02/2015
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