Derenzi, Paul D

Derenzi, Paul D is an individual health care provider with primary practice located at 415 Boulevard , Mountain Lakes NJ 07046-1723. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Derenzi, Paul D can be contacted via phone (973) 334-7700.

Contact Information

Primary practice address
415 Boulevard Mountain Lakes NJ 07046-1723
Phone: (973) 334-7700
Fax: (973) 402-5847
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MA059234 New Jersey
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MA59234 New Jersey

Profile Details

NPI number 1164411773
LBN Legal business name Derenzi, Paul D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Mar 22nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164411773 NPPES
New Jersey MEDICAID 6565701

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