Individual
THEODORE RENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
454 OLD STREET RD, SUITE 204, PETERBOROUGH, NH 03458-1200
(603) 924-7070
(603) 924-6700
Mailing address
454 OLD STREET RD, SUITE 204, PETERBOROUGH, NH 03458-1200
(603) 924-7070
(603) 924-6700
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
5884
NH
Other
Enumeration date
06/13/2006
Last updated
12/02/2013
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