| Renaissance Medical Group, Inc. | |
|
525 Eastern Ave 2nd Floor Fairmount Heights MD 20743-1677 | |
| (301) 925-2255 | |
| (301) 925-2020 |
| Full Name | Renaissance Medical Group, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 525 Eastern Ave, Fairmount Heights, Maryland |
| Authorized Official Name and Position | Andrea Syphax (ADMINISTRATOR) |
| Authorized Official Contact | 3019252255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renaissance Medical Group, Inc. Po Box 2966 Hyattsville MD 20784-0966 Ph: (301) 925-2255 | Renaissance Medical Group, Inc. 525 Eastern Ave 2nd Floor Fairmount Heights MD 20743-1677 Ph: (301) 925-2255 |
| NPI Number | 1396117610 |
|---|---|
| Provider Enumeration Date | 10/26/2015 |
| Last Update Date | 10/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396117610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 104804 (Maryland) | Primary |
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