Individual
DR. BETH ANNE RENZULLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
102 SLEEPY HOLLOW DR STE 200, MIDDLETOWN, DE 19709-5841
(302) 449-0070
(302) 613-7548
Mailing address
102 SLEEPY HOLLOW DRIVE, SUITE 200, MIDDLETOWN, DE 19799
(302) 449-0070
(302) 613-7548
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C10007078
DE
207R00000X
Internal Medicine Physician
D0060425
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000034261
—
DE
Enumeration date
10/13/2006
Last updated
09/05/2017
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