Organization
RENAISSANCE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALIYA FAYAZI APN (MANAGER)
(732) 491-3619
Entity
Organization
Contact information
Practice address
55 DAVIDSON MILL RD, NORTH BRUNSWICK, NJ 08902-4751
(732) 491-3619
Mailing address
55 DAVIDSON MILL RD, NORTH BRUNSWICK, NJ 08902-4751
(732) 491-3619
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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