Rena Burlingame Rengo in Brunswick - Dermatopathology
Rena Burlingame Rengo - NPI 1053591602
Rena Burlingame Rengo is a Dermatopathology in Brunswick, Georgia. Rena Burlingame Rengo practices all healthcare services and medical treatments related to Dermatopathology. The NPI Number for Rena Burlingame Rengo is 1053591602. The last update date is 2012-12-14.
Rena Burlingame Rengo's current location address is 203 Indigo Dr, Brunswick, Georgia. You can contact this provider via phone number 9122612669. The mailing address for Rena Burlingame Rengo is 203 Indigo Dr, Brunswick, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rena Burlingame Rengo |
|---|---|
| Address | 203 Indigo Dr, Brunswick, Georgia |
| Phone Number | 9122612669 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1053591602 |
|---|---|
| Provider Enumeration Date | 2007-11-13 |
| Last Updated Date | 2012-12-14 |
Provider Mailing Address Detail
| Address | 203 Indigo Dr |
|---|---|
| City | Brunswick |
| State | Georgia (GA) |
| Post Code | 315256865 |
| Phone Number | 9122612669 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dermatopathology |
|---|---|
| Taxonomy | 207Zd0900X |
| Licence No | 2008-00705 |
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Definition: A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellu |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 148U6 | NC | BCBS OF NC | |
| P00445423 | NC | RAILROAD MEDICARE | |
| 5909325 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Rena Burlingame Rengo by the Centers for Medicare & Medicaid Services?
The Rena Burlingame Rengo has been issued the NPI (National Provider Identifier) 1053591602, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Rena Burlingame Rengo's physical address?
The Rena Burlingame Rengo is physically located at 203 Indigo Dr, in the city of Brunswick, GA, with the postal code 315256865.
What is Rena Burlingame Rengo's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Rena Burlingame Rengo is Dermatopathology, and the taxonomy code that categorizes this field of expertise is 207Zd0900X.
On what date did the Rena Burlingame Rengo receive the assignment of its 1053591602 from the Centers for Medicare & Medicaid Services?
The Rena Burlingame Rengo was issued its 1053591602 by the Centers for Medicare & Medicaid Services on 2007-11-13.
As of what date was the information pertaining to Rena Burlingame Rengo, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Rena Burlingame Rengo, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-12-14.
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