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NPI Code Detail

MEDICARE: DR. ANDREW RENNY MD

MEDICARE:  DR. ANDREW  RENNY  MD
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
1207RG0100XGastroenterology PhysicianMA45677NJ

General Provider Information

NPI Number : 1447259957
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW RENNY MD
Provider Business Mailing Address
First Line : 222 NEW RD
Second Line : #805
City : LINWOOD
State : NJ
Zip : 08221-1299
Country : US
Telephone Number : 609-927-3200
Fax Number : 609-927-9159
Provider Business Practice Location Address
First Line : 222 NEW RD
Second Line : #805
City : LINWOOD
State : NJ
Zip : 08221-1299
Country : US
Telephone Number : 609-927-3200
Fax Number : 609-927-9159
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 11/02/2020

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Directions to “ DR. ANDREW RENNY MD” Practice Location

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