Renaissance Primary Care, LLC

NPI #1649729021 in Southbridge, Massachusetts

Provider Information

NPI Number: 1649729021
Entity Type: Organization
Organization Name: Renaissance Primary Care, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Sep 27, 2016
Last Updated: Jul 15, 2025

Practice Location

Address: 11-15 SANDERSDALE ROAD
City: Southbridge
State: Massachusetts
ZIP Code: 01550
Phone: (774) 420-2311

Authorized Official

Name: DR. JAMES MANUEL, PSYCHOLOGIST
Title: PSYCHOLOGIST
Phone: (774) 420-2311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Psychologist	103T00000X
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
Clinic/Center - Primary Care — Primary Care	261QP2300X
Internal Medicine	207R00000X	Primary

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