Individual
DR. MICHAEL A RENZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
318 WHITE HORSE PIKE, HADDON HEIGHTS, NJ 08035-1705
(856) 547-6000
(856) 546-3189
Mailing address
402 LIPPINCOTT DR, MARLTON, NJ 08053-4112
(856) 782-3300
(856) 504-8029
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB05949300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6852505
—
NJ
Enumeration date
10/19/2005
Last updated
03/25/2014
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