Individual
DR. JOHN ARTHUR RENNER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
251 CAUSEWAY ST, VA OUTPATIENT CLINIC, BOSTON, MA 02114-2148
(617) 248-1022
(617) 248-1121
Mailing address
11 BRADDOCK PARK, UNIT A, BOSTON, MA 02116-5816
(617) 267-8816
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
29371
MA
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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