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Individual

DR. ANDREW JOHN RENUART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., M.SC.

Contact information

Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000

Taxonomy

Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
MD462181
PA
207LP3000X
Pediatric Anesthesiology Physician
T288745
MA
2080P0203X
Pediatric Critical Care Medicine Physician
MD462181
PA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
T288745
MA

Other

Enumeration date
06/09/2011
Last updated
07/05/2021
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