Renzi, Michael A

Renzi, Michael A is an individual health care provider with primary practice located at 318 White Horse Pike , Haddon Heights NJ 08035-1705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Renzi, Michael A can be contacted via phone (856) 547-6000.

Contact Information

Primary practice address
318 White Horse Pike Haddon Heights NJ 08035-1705
Fax: (856) 546-3189
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MB05949300 New Jersey

Profile Details

NPI number 1962491241
LBN Legal business name Renzi, Michael A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Mar 25th, 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 1962491241 NPPES
New Jersey MEDICAID 6852505

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