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Individual

RENATA ALMA WIX-HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1924 WASHINGTON VALLEY RD, MARTINSVILLE, NJ 08836-2031
(732) 356-1666
Mailing address
11 SLACK CT, BRIDGEWATER, NJ 08807-5775
(251) 295-7840

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA09895500
NJ
207Q00000X
Family Medicine Physician
Primary
27765
AL

Other

Enumeration date
12/22/2006
Last updated
08/09/2023
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