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Organization
RENAISSANCE MEDICAL MANAGEMENT COMPANY
Active
Organization
RENAISSANCE MEDICAL MANAGEMENT COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PO CHOU (CHIEF OPERATING OFFICER)
(610) 254-2955
Entity
Organization
Contact information
Practice address
489 DEVON PARK DR, SUITE 306, WAYNE, PA 19087-1809
(610) 254-7662
(610) 687-8458
Mailing address
489 DEVON PARK DR, SUITE 306, WAYNE, PA 19087-1809
(610) 254-7662
(610) 687-8458
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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