Provider Demographics
NPI:1760614465
Name:RHOADS, GEORGE GRANT
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:GRANT
Last Name:RHOADS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:683 HOES LANE WEST, RM 128
Mailing Address - Street 2:UMDNJ - SCHOOL OF PUBLIC HEALTH
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854
Mailing Address - Country:US
Mailing Address - Phone:732-235-4353
Mailing Address - Fax:732-235-4814
Practice Address - Street 1:683 HOES LANE WEST, RM 128
Practice Address - Street 2:UMDNJ - SCHOOL OF PUBLIC HEALTH
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854
Practice Address - Country:US
Practice Address - Phone:732-235-4353
Practice Address - Fax:732-235-4814
Is Sole Proprietor?:No
Enumeration Date:2009-08-13
Last Update Date:2009-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA05390700207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine