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Organization

JOSEPH L RENDA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PAMELA A BRANDT (BUSINESS MANAGER)
(203) 597-9733
Entity
Organization

Contact information

Practice address
140 GRANDVIEW AVE, WATERBURY, CT 06708-2505
(203) 597-9733
(203) 597-9732
Mailing address
140 GRANDVIEW AVE, WATERBURY, CT 06708-2505
(203) 597-9733
(203) 597-9732

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
14059
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4237831
CT
Enumeration date
05/17/2007
Last updated
12/27/2007
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