Individual
AUSTIN 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
82 NEW PARK AVE, NORTH FRANKLIN, CT 06254-1807
(860) 889-7345
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
CT
363AS0400X
Surgical Physician Assistant
—
CT
Other
Enumeration date
09/11/2017
Last updated
03/17/2018
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