| Renaissance Medical Management Company | |
|
489 Devon Park Dr Suite 306 Wayne PA 19087-1809 | |
| (610) 254-7662 | |
| (610) 687-8458 |
| Full Name | Renaissance Medical Management Company |
|---|---|
| Speciality | General Practice |
| Location | 489 Devon Park Dr, Wayne, Pennsylvania |
| Authorized Official Name and Position | Po Chou (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 6102542955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renaissance Medical Management Company 489 Devon Park Dr Suite 306 Wayne PA 19087-1809 Ph: (610) 254-7662 | Renaissance Medical Management Company 489 Devon Park Dr Suite 306 Wayne PA 19087-1809 Ph: (610) 254-7662 |
| NPI Number | 1174816227 |
|---|---|
| Provider Enumeration Date | 05/24/2011 |
| Last Update Date | 05/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174816227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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