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Individual
RICHARD J RENEHAN JR.
Active
Individual
RICHARD J RENEHAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16902
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3716755
AETNA HMO
MD
01
—
54281809
CAREFIRST
MD
01
—
7953265
AETNA PPO
MD
01
—
S2720007
CAREFIRST HMO
MD
Enumeration date
10/25/2006
Last updated
07/08/2007
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