Individual
ANDY REN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
260 NEW MILFORD AVE, DUMONT, NJ 07628-2146
(917) 293-1856
Mailing address
260 NEW MILFORD AVE, DUMONT, NJ 07628-2146
(917) 293-1856
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MO
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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