Renza, Richard A

Renza, Richard A is an sole proprietor health care provider with primary practice located at 6410 New Jersey Ave , Wildwood Crest NJ 08260-1216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Renza, Richard A can be contacted via phone (609) 523-1331.

Contact Information

Primary practice address
6410 New Jersey Ave Wildwood Crest NJ 08260-1216
Fax: (609) 522-1516
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MB02591800 New Jersey

Profile Details

NPI number 1154477479
LBN Legal business name Renza, Richard A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2007
Last updated Jul 8th, 2007 - about 18 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 1154477479 NPPES
New Jersey MEDICAID 1245503

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