Maria C Renna MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

044363 Issued in CT

Legal business name

MARIA C RENNA MD LLC

Practice address

151 Hazard Ave
Ste 9
Enfield, CT 06082-4584

Phone

(860) 634-3821

NPI assigned

Jun 3, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maria C Renna, MD

Title

Owner

Phone

(860) 634-3821

Specialties & licenses 3

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1942594288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 HAZARD AVE.",
            "address_2": "SUITE 9",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824588",
            "telephone_number": "860-634-3821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 HAZARD AVE",
            "address_2": "STE 9",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824584",
            "telephone_number": "860-634-3821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA C RENNA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-03",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "RENNA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-634-3821",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "044363",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CT",
            "license": "044363",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CT",
            "license": "044363",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura J Manning
• Lynne E. Manning, DO
• Cherie Mansfield
• Maraina L Mantie
• Babette L Mantilla
• Linda Marini
• Sophia Marinone
• Courtney Marquardt, PA-C
• Robert E Marra, DPM
• Kelly Erin Marshall, OTA

• Internal Medicine Physician in Enfield, CT
• Providers in Enfield, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.