Organization
THEODORE RENNA, MD PA
Active
Other names
Monadnock Eye Associates
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY ISLES (BILLING)
(603) 924-7070
Entity
Organization
Contact information
Practice address
454 OLD STREET RD, SUITE 204, PETERBOROUGH, NH 03458-1200
(603) 924-7070
(603) 924-6700
Mailing address
454 OLD STREET RD, SUITE 204, PETERBOROUGH, NH 03458-1200
(603) 924-7070
(603) 924-6700
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30210243
—
NH
Enumeration date
08/31/2006
Last updated
03/27/2012
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