Individual
DR. CONCETTA MARIE RENKUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
32 N 32ND AVE, LONGPORT, NJ 08403-1524
(609) 823-3240
Mailing address
PO BOX 458, LONGPORT, NJ 08403-0458
(609) 823-3240
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA02161000
NJ
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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