Provider Demographics
NPI:1447384193
Name:STODDARD, FREDERICK RHODE II (MD/PHD)
Entity type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:RHODE
Last Name:STODDARD
Suffix:II
Gender:M
Credentials:MD/PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7339 HILL RD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19128-1411
Mailing Address - Country:US
Mailing Address - Phone:215-292-4007
Mailing Address - Fax:215-487-0639
Practice Address - Street 1:822 MONTGOMERY AVE
Practice Address - Street 2:STE 207
Practice Address - City:NARBERTH
Practice Address - State:PA
Practice Address - Zip Code:19072-1946
Practice Address - Country:US
Practice Address - Phone:215-565-1005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4258762084A0401X, 2084F0202X, 2084H0002X, 2084P0802X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
No2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
No2084H0002XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyHospice and Palliative Medicine
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry