| Organization Name: | RENAISSANCE GENERAL MEDICINE PC |
| NPI Number: | 1063624294 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALEXANDER KORENFELD (PRESIDENT) |
| Mailing Address: | 596 Anderson Ave Suite 302 Cliffside Park |
| State: | NJ US |
| Postal Code: | 070101831 |
| Phone Number: | 2019432700 |
| Fax Number: | 2019432646 |
| NPI Enumeration Date: | 05/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 63357 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |