| NPI | 1316093636 |
|---|---|
| Doing Business As | CREST MEDICAL ASSOC&BAYSHORE MEDICAL ASSOC. |
| Entity Type | Organization |
| Authorized Contact | RICHARD ALLEN RENZA President 609-523-1331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2020-08-22 |