Renaissance Medical Management Company

NPI #1174816227 in Wayne, Pennsylvania

Provider Information

NPI Number: 1174816227
Entity Type: Organization
Organization Name: Renaissance Medical Management Company
Primary Specialty: General Practice
Enumeration Date: May 24, 2011
Last Updated: May 24, 2011

Practice Location

Address: 489 DEVON PARK DR
Address 2: SUITE 306
City: Wayne
State: Pennsylvania
ZIP Code: 19087-1809
Phone: (610) 254-7662

Authorized Official

Name: MR. PO CHOU
Title: CHIEF OPERATING OFFICER
Phone: (610) 254-2955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X
General Practice	208D00000X	Primary

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