Organization
JOHN A RENDA MD PA,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ANTHONY RENDA MD (PRESIDENT)
(732) 727-4774
Entity
Organization
Contact information
Practice address
200 PERRINE RD, SUITE 231, OLD BRIDGE, NJ 08857-2842
(732) 727-4774
(732) 727-4994
Mailing address
200 PERRINE RD, SUITE 231, OLD BRIDGE, NJ 08857-2842
(732) 727-4774
(732) 727-4994
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA014110200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1055305
—
NJ
Enumeration date
10/05/2010
Last updated
10/19/2010
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