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Organization
RICHARD A RENZA DO PA
Active
Organization
RICHARD A RENZA DO PA
Active
Other names
Crest Medical Assoc&Bayshore Medical Assoc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ALLEN RENZA DO (PRESIDENT)
(609) 523-1331
Entity
Organization
Contact information
Practice address
6410 NEW JERSEY AVE, WILDWOOD CREST, NJ 08260-1216
(609) 523-1331
(609) 522-1516
Mailing address
PO BOX 278, CAPE MAY COURT HOUSE, NJ 08210-0278
(609) 523-1331
(609) 522-1516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8395004
—
NJ
Enumeration date
01/27/2007
Last updated
08/22/2020
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