Renaissance Medical Management Company

NPI 1174816227 - Family Medicine - 207Q00000X

NPI Details
NPI 1174816227
Enumeration Date 05/24/2011
Last Updated 05/24/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name PO PO
Position CHIEF OPERATING OFFICER
Phone (610) 254-7662
Fax (610) 687-8458
Practice Location
489 DEVON PARK DR
SUITE 306
WAYNE PA, 19087-1809, US
Phone (610) 254-7662
Fax (610) 687-8458
Business Location
489 DEVON PARK DR
SUITE 306
WAYNE PA, 19087-1809, US
Phone (610) 254-7662
Fax (610) 687-8458
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Renaissance Medical Management Company NPI is 1174816227, taxonomy code is 207Q00000X Renaissance Medical Management Company physically located at 489 Devon Park Dr, Wayne PA, 19087-1809. NPI Number 1033115704 has the healthcare provider type.

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1174816227 NPI number is provided on an as is basis without warranty of any kind. 1174816227 is maintained by the National Plan & Provider Enumeration System. The contents of Renaissance Medical Management Company are for informational purposes only.