Organization
NEW RENAISSANCE MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYBIL MONIQUE FORD (OWNER)
(917) 692-0624
Entity
Organization
Contact information
Practice address
56 CONSTITUTION WAY, JERSEY CITY, NJ 07305-5445
(917) 692-0624
Mailing address
56 CONSTITUTION WAY, JERSEY CITY, NJ 07305-5445
(917) 692-0624
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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