Individual
DR. MICHAEL ANGELO RENIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP APN/CRNA
Contact information
Practice address
140 PARK AVE, FLORHAM PARK, NJ 07932-1049
(973) 404-9700
(973) 377-4709
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
26NJ00928900
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
RN679958
PA
Other
Enumeration date
09/09/2018
Last updated
11/19/2024
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