Theodore Renna, MD PA
NPI #1114022217 in Peterborough, New Hampshire
Provider Information
- NPI Number
- 1114022217
- Entity Type
- Organization
- Organization Name
- Theodore Renna, MD PA
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Sep 13, 2006
- Last Updated
- Mar 16, 2012
Practice Location
- Address
- 454 OLD STREET RD
- Address 2
- SUITE 206
- City
- Peterborough
- State
- New Hampshire
- ZIP Code
- 03458-1200
- Phone
- (603) 924-0002
Authorized Official
- Name
- WENDY ISLES
- Title
- BILLING
- Phone
- (603) 924-7070
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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