| NPI | 1528871357 |
|---|---|
| Doing Business As | RENAISSANCE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | BEATRIZ ANG-ERMOCILLA Owner 718-344-6298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-01-27 |