Individual
JERRY REN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4401 PENN AVE, PITTSBURGH, PA 15224-1334
(412) 755-2203
Mailing address
4401 PENN AVE, PITTSBURGH, PA 15224-1334
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD490857
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2022
Last updated
10/31/2025
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