Individual
DR. RENEE M SORRENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, BLK 11 PSYCHIATRY ASSOCIATES INPATIENT CONSULT, BOSTON, MA 02114-2696
(617) 626-8533
(617) 626-8669
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
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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