| Renaissance Family Practice, Inc | |
|
600 Watercrest Way Suite 630 Cheswick PA 15024-1370 | |
| (724) 274-9451 | |
| (724) 274-9370 |
| Full Name | Renaissance Family Practice, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 600 Watercrest Way, Cheswick, Pennsylvania |
| Authorized Official Name and Position | Marie Zanotti (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7242749451 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renaissance Family Practice, Inc 600 Watercrest Way Suite 630 Cheswick PA 15024-1370 Ph: (724) 274-9451 | Renaissance Family Practice, Inc 600 Watercrest Way Suite 630 Cheswick PA 15024-1370 Ph: (724) 274-9451 |
| NPI Number | 1598710766 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598710766 | NPI | - | NPPES |
| 0015575980028 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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