Individual
RICHARD A RENZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6410 NEW JERSEY AVE, WILDWOOD CREST, NJ 08260-1216
(609) 523-1331
(609) 522-1516
Mailing address
PO BOX 278, CAPE MAY COURT HOUSE, NJ 08210-0278
(609) 523-1331
(609) 522-1516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB02591800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245503
—
NJ
Enumeration date
01/27/2007
Last updated
07/08/2007
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