Individual
RICHARD RENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
255 ROUTE 108, SOMERSWORTH, NH 03878-1543
(603) 692-4018
(603) 692-1083
Mailing address
107 COMMERCIAL ST, MASHPEE, MA 02649-6507
(508) 539-6000
(508) 477-7028
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0075P
NH
363AM0700X
Medical Physician Assistant
Primary
PA633
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30003861
—
NH
Enumeration date
05/25/2006
Last updated
12/13/2024
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