| Doctor Name: | RENEE SANDRA STEWART |
| NPI Number: | 1073603015 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD |
| License Number: | 923321 |
| Business Practice Address: | 471 Center St Kidney Treatment Center Of Phillipsburg - Ckd Services Phillipsburg, NJ - 088652663 |
| Business Phone Number: | 9084547440 |
| Business Fax Number: | 9084549050 |
| Mailing Address: | Rr 2 Box 500tt, KUNKLETOWN |
| State: | PA |
| Postal Code: | 180589104 |
| Phone Number: | 6108718212 |
| Fax Number: | |
| NPI Enumeration Date: | 10/13/2006 |
| NPI Last Update Date: | 11/28/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133VN1005X |
| License Number: | 923321 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | Nutrition, Renal |
| Taxonomy Definition: | |