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NPI Code Detail

MEDICARE: RENEE GEWIRTZ

MEDICARE: RENEE GEWIRTZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1154913903
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENEE GEWIRTZ
Provider Business Mailing Address
First Line : 4 STONEWALL CT
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-4974
Country : US
Telephone Number : 917-363-2096
Fax Number :
Provider Business Practice Location Address
First Line : 166 MAIN ST
Second Line :
City : MATAWAN
State : NJ
Zip : 07747-3104
Country : US
Telephone Number : 732-290-9040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2021
Last Update Date : 02/03/2021

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Directions to “ RENEE GEWIRTZ ” Practice Location

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