Individual
DR. RENATO DECENA ALBERTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 MULE RD, BUILDING A, TOMS RIVER, NJ 08755-5035
(732) 240-0404
(732) 244-3555
Mailing address
25 MULE RD, BUILDING A, TOMS RIVER, NJ 08755-5035
(732) 240-0404
(732) 244-3555
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA03142800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
148982
MEDICARE GROUP
—
05
—
2232308
—
NJ
Enumeration date
07/29/2006
Last updated
07/08/2007
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