Individual
DR. NANCY J RENNERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24 STEVENS ST, NORWALK, CT 06850-3852
(203) 852-2375
(203) 852-2057
Mailing address
24 STEVENS ST, NORWALK, CT 06850-3852
(203) 852-2375
(203) 852-2057
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
031031
CT
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
031031
CT
208M00000X
Hospitalist Physician
031031
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004192051
—
CT
01
—
010031031CT05
ANTHEM
CT
01
—
0761824
CIGNA
CT
01
—
1355889
AETNA
CO
01
—
1528089950
UHC
CT
01
—
2V7420
HEALTHNET
CT
01
—
310310
CONNECTICARE
CT
Enumeration date
07/21/2006
Last updated
10/01/2008
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