| Renovomd | |
|
512 Main St Penthouse Shrewsbury MA 01545-6405 | |
| (508) 842-6898 | |
| Not Available |
| Full Name | Renovomd |
|---|---|
| Speciality | Internal Medicine |
| Location | 512 Main St, Shrewsbury, Massachusetts |
| Authorized Official Name and Position | Jean Marie Casello (CEO) |
| Authorized Official Contact | 5088426898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renovomd 512 Main St Penthouse Shrewsbury MA 01545-6405 Ph: (508) 842-6898 | Renovomd 512 Main St Penthouse Shrewsbury MA 01545-6405 Ph: (508) 842-6898 |
| NPI Number | 1619129863 |
|---|---|
| Provider Enumeration Date | 10/21/2008 |
| Last Update Date | 10/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619129863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 78863 (Massachusetts) | Primary |
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