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General NPI Number Information
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NPI Number | 1033166285
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Entity Type | Individual
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Provider Name | PETER A RIENZO M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/30/2006
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 2315 ROUTE 34 SOUTH SUITE D
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City | MANASQUAN
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State | NJ
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Zip | 08736
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Country | US
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Telephone | 732-974-0404
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Fax | 732-449-4271
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Provider Business Mailing Address
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Address Line | 3600 ROUTE 66 FL 3
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City | NEPTUNE
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State | NJ
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Zip | 07753-2645
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Country | US
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Telephone | 732-807-0877
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Fax | 201-751-1680
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 25MA04948300
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License Number State | NJ
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