Individual
ELIZABETH P RENZA-STINGONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 YOUNG AVE STE 275, MOORESTOWN, NJ 08057-3141
(856) 291-8670
(856) 291-8671
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA11320900
NJ
208600000X
Surgery Physician
MD442518
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0581348
—
NJ
05
—
1007526250039
—
PA
01
—
2632173
HIGHMARK BLUE SHIELD
PA
01
—
3842463000
KEYSTONE IBC
PA
Enumeration date
09/30/2006
Last updated
10/09/2024
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