Provider Demographics
NPI:1760466296
Name:RHODIN, ANDERS GJ (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDERS
Middle Name:GJ
Last Name:RHODIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:168 GOODRICH ST
Mailing Address - Street 2:
Mailing Address - City:LUNENBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01462-1612
Mailing Address - Country:US
Mailing Address - Phone:978-807-2902
Mailing Address - Fax:
Practice Address - Street 1:168 GOODRICH ST
Practice Address - Street 2:
Practice Address - City:LUNENBURG
Practice Address - State:MA
Practice Address - Zip Code:01462-1612
Practice Address - Country:US
Practice Address - Phone:978-807-2902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-29
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA49086207X00000X
VT042-0012313207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery