Individual
GERALD R RENZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9715 MEDICAL CENTER DR, STE 330, ROCKVILLE, MD 20850-3320
(301) 424-1696
(301) 424-7135
Mailing address
8110 MAPLE LAWN BLVD STE 235, FULTON, MD 20759-2694
(301) 340-8339
(301) 340-9027
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D0030833
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
352241500
—
MD
Enumeration date
11/03/2005
Last updated
11/29/2023
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