Direnzo, Robert M

Direnzo, Robert M is an individual health care provider with primary practice located at 2225 E Evesham Rd Suite 101, Voorhees NJ 08043-1557. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Direnzo, Robert M can be contacted via phone (856) 795-4330.

Contact Information

Primary practice address
2225 E Evesham Rd Suite 101 Voorhees NJ 08043-1557
Phone: (856) 795-4330
Fax: (856) 325-3704
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA4363600 New Jersey

Profile Details

NPI number 1114975679
LBN Legal business name Direnzo, Robert M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Mar 17th, 2014 - about 10 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 1114975679 NPPES
New Jersey MEDICAID 1481304

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