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Individual

AUSTIN JAMES RENAUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
11 INDUSTRIAL PARK ROAD, NIANTIC, CT 06357-1904
(860) 889-7345
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
(919) 220-5255
(919) 220-6971

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-16843
NC
363A00000X
Physician Assistant
CT
363AS0400X
Surgical Physician Assistant
CT

Other

Enumeration date
09/11/2017
Last updated
08/14/2026
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