Individual
ERNST RENONDEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
6 KILMER RD STE B, EDISON, NJ 08817-2432
(640) 266-4033
(225) 254-3474
Mailing address
244 HENDRICKSON AVE, EDGEWATER PARK, NJ 08010-2024
(609) 575-8483
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR15639000
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01208900
NJ
Other
Enumeration date
03/08/2021
Last updated
03/26/2025
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