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Individual

RENEE PRINCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7 ELM ST, SUITE 203, ENFIELD, CT 06082-3669
(860) 763-4041
(860) 763-5221
Mailing address
7 ELM ST, SUITE 203, ENFIELD, CT 06082-3669
(860) 763-4041
(860) 763-5221

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
029049
CT
207X00000X
Orthopaedic Surgery Physician
169569
NY
207X00000X
Orthopaedic Surgery Physician
50622
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001290494
CT
Enumeration date
08/11/2006
Last updated
10/28/2022
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