| Renaissance Medical Group,inc | |
|
525 Eastern Ave Ste B3 Fairmount Heights MD 20743-1677 | |
| (301) 925-2255 | |
| Not Available |
| Full Name | Renaissance Medical Group,inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 525 Eastern Ave Ste B3, Fairmount Heights, Maryland |
| Authorized Official Name and Position | Andrea L 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: () - | Renaissance Medical Group,inc 525 Eastern Ave Ste B3 Fairmount Heights MD 20743-1677 Ph: (301) 925-2255 |
| NPI Number | 1689713638 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689713638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Maryland) | Primary |
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