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NPI Code Detail

MEDICARE: RICHARD GREGORY RENTO II M.D.

MEDICARE: RICHARD GREGORY RENTO II M.D.
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
1208800000XUrology Physician0101047772VA
2208800000XUrology Physician288982NY

General Provider Information

NPI Number : 1578541694
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD GREGORY RENTO II M.D.
Provider Business Mailing Address
First Line : 9101 STONY POINT DR
Second Line :
City : RICHMOND
State : VA
Zip : 23235
Country : US
Telephone Number : 804-330-9105
Fax Number : 804-287-6119
Provider Business Practice Location Address
First Line : 9101 STONY POINT DR
Second Line :
City : RICHMOND
State : VA
Zip : 23235
Country : US
Telephone Number : 804-330-9105
Fax Number : 804-287-6119
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2006
Last Update Date : 10/28/2020

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