Renaissance Medical Group | |
790 N Main St Providence RI 02904-5706 | |
(401) 272-3600 | |
(401) 272-3636 |
Full Name | Renaissance Medical Group |
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Speciality | Internal Medicine |
Location | 790 N Main St, Providence, Rhode Island |
Authorized Official Name and Position | Tarek Wehbe (OWNER) |
Authorized Official Contact | 4014553574 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Renaissance Medical Group 790 N Main St Providence RI 02904-5706 Ph: (401) 272-3600 | Renaissance Medical Group 790 N Main St Providence RI 02904-5706 Ph: (401) 272-3600 |
NPI Number | 1740365121 |
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Provider Enumeration Date | 10/26/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740365121 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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