| Renaissance Medical Group, Llc | |
|
11-15 Sandersdale Road Southbridge MA 01550-2855 | |
| (774) 420-2311 | |
| (508) 519-0763 |
| Full Name | Renaissance Medical Group, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11-15 Sandersdale Road, Southbridge, Massachusetts |
| Authorized Official Name and Position | Jesus D Suarez (OWNER/ CEO) |
| Authorized Official Contact | 7744202311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renaissance Medical Group, Llc 11-15 Sandersdale Road Southbridge MA 01550-2855 Ph: (774) 420-2311 | Renaissance Medical Group, Llc 11-15 Sandersdale Road Southbridge MA 01550-2855 Ph: (774) 420-2311 |
| NPI Number | 1144106667 |
|---|---|
| Provider Enumeration Date | 08/12/2025 |
| Last Update Date | 08/12/2025 |
| Certification Date | 08/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144106667 | NPI | - | NPPES |
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