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
Phone: (609) 523-1331
Fax: (609) 522-1516
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1154477479 | NPPES |
New Jersey | MEDICAID | 1245503 |
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