Individual
DR. RENEE M SORRENTINO
Active
Individual
DR. RENEE M SORRENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
207842
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2077191
—
MA
01
—
469487
TUFTS HEALTH PLAN
MA
01
—
J27872
BCBS MA
MA
Enumeration date
10/31/2005
Last updated
01/27/2016
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