Individual
DR. AMY E. RENWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 ROCKLAND ROAD, PEDIATRIC CONTINUITY PRACTICE AT AIDHC, WILMINGTON, DE 19803-3607
(302) 651-5245
(302) 651-5257
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
C10006720
DE
208000000X
Pediatrics Physician
Primary
C10006720
DE
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
C10006720
DE
208D00000X
General Practice Physician
C10006720
DE
208M00000X
Hospitalist Physician
MD419524
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001928248
—
PA
05
—
1168921
—
LA
05
—
4015568
—
MD
05
—
7615696
—
NC
05
—
8998302
—
NJ
Enumeration date
09/29/2006
Last updated
09/16/2011
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