Individual
ELIZABETH J RENAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2 DUDLEY ST STE 190, PROVIDENCE, RI 02905-3248
(401) 228-0555
(401) 868-2319
Mailing address
PO BOX 16149, RUMFORD, RI 02916-0697
(401) 453-9625
(401) 435-7069
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
216251
MA
2086S0120X
Pediatric Surgery Physician
262737
NY
2086S0120X
Pediatric Surgery Physician
Primary
MD16025
RI
Other
Enumeration date
04/03/2007
Last updated
03/18/2025
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