| Doctor Name: | JONATHAN DAVID RHOADS |
| NPI Number: | 1073560066 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | 25MP00168700 |
| Business Practice Address: | 1100 Wescott Drive Suite G-3 Flemington, NJ - 08822 |
| Business Phone Number: | 9087881710 |
| Business Fax Number: | 9087881716 |
| Mailing Address: | 1100 Wescott Drive, Suite G-3 FLEMINGTON |
| State: | NJ |
| Postal Code: | 08822 |
| Phone Number: | 9087881710 |
| Fax Number: | 9087881716 |
| NPI Enumeration Date: | 05/27/2006 |
| NPI Last Update Date: | 03/14/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 25MP00168700 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |