Healthcare Provider Details

I. General information

NPI: 1194723601
Provider Name (Legal Business Name): KLAUS PETER RENTROP M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: K. PETER RENTROP M.D.

II. Dates (important events)

Enumeration Date: 07/08/2005
Last Update Date: 10/07/2020
Certification Date: 10/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 W 35TH ST FLOOR 7
NEW YORK NY
10001-2111
US

IV. Provider business mailing address

131 W 35TH ST FLOOR 7
NEW YORK NY
10001-2111
US

V. Phone/Fax

Practice location:
  • Phone: 212-475-8066
  • Fax: 212-475-4175
Mailing address:
  • Phone: 212-475-8066
  • Fax: 212-475-4175

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number144465-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: