Individual
MARIA RENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
30 JORDAN LN, WETHERSFIELD, CT 06109-1278
(860) 263-0263
(860) 263-0267
Mailing address
30 JORDAN LN, WETHERSFIELD, CT 06109-1278
(860) 263-0263
(860) 263-0267
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
044363
CT
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
044363
CT
208M00000X
Hospitalist Physician
044363
CT
Other
Enumeration date
12/03/2009
Last updated
10/25/2022
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