| NPI | 1619129863 |
|---|---|
| Doing Business As | RENOVOMD |
| Entity Type | Organization |
| Authorized Contact | JEAN MARIE CASELLO CEO 508-842-6898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 78863) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |