Individual
TIMOTHY JOSEPH RENYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D
Contact information
Practice address
3159 ROUTE 9 S, RIO GRANDE, NJ 08242-1012
(609) 465-7552
Mailing address
115 RIVER DR, MILLVILLE, NJ 08332-9500
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
TD-1786
NJ
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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