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Contact Information

RICHARD RENZI, MD
100 KENYON AVE
WAKEFIELD, RI02879-4299
 Phone: 401-782-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for RICHARD RENZI · (Male)

NPI Number 1578579678
Status Active
Credentials MD
Entity Individual
Enumeration date 07/31/2006
Last updated 10/13/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • ME License # MD18266
  • RI License # MD07004
  • RI Medicaid RR07053
  • RI Other 1578579678 NPI
  • RI Other 939025129 RI MEDICARE GROUP NUMBER
Hospital affiliation(s)
  • ST JOSEPH HOSPITAL - (Acute Care)
    360 BROADWAY
    BANGOR, ME 04401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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