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Individual

PERRY FRANKLIN RENSHAW

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
115 MILL ST, BELMONT, MA 02478-1041
(617) 855-3750
(617) 855-2770
Mailing address
115 MILL ST, BELMONT, MA 02478-1041
(617) 855-3750
(617) 855-2770

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
73551
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3071758
MA
Enumeration date
05/30/2006
Last updated
07/08/2007
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