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Organization

RENAISSANCE M.D. INC.

Active
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Organization

RENAISSANCE M.D. INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHAZIA HYDER M.D (MEDICAL DIRECTOR)
(909) 583-1262
Entity
Organization

Contact information

Practice address
1652 PLUM LN STE 103, REDLANDS, CA 92374-4594
(909) 583-1262
Mailing address
1652 PLUM LN STE 103, REDLANDS, CA 92374-4594
(909) 583-1262

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
08/22/2016
Last updated
08/22/2016
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