Individual
PETER A RIENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2315 ROUTE 34 SOUTH, SUITE D, MANASQUAN, NJ 08736
(732) 974-0404
(732) 449-4271
Mailing address
3600 ROUTE 66, FL 3, NEPTUNE, NJ 07753-2645
(732) 807-0877
(201) 751-1680
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25MA04948300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1475908
—
NJ
01
—
P00906952
RR MEDICARE
—
Enumeration date
05/30/2006
Last updated
01/12/2021
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