JOHN N RENNEBURG MD

Allergy and Immunology

Dedham, Massachusetts

Provider NPI: 1861466716

Provider Information:
 JOHN N RENNEBURG MD


Practice Location:
1 LYONS ST  DEDHAM, MA 02026 US
Tel: 781-329-1400  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	MA	70756

Other Provider Identifiers:

Issuer	Number	State	Type
	3100588	MA	05
CIGNA HEALTH PLAN	7107816		01
MEDICARE B	J13537		01
MVP HEALTH CARE	784075		01
HEALTHY START	27197		01
MEDICAID WELFARE	3100588		01
FIRST HEALTH	919279		01
HARVARD PILGRIM HEALTHCAR	AA2169		01
BLUE CARE ELECT	J13537		01
EVERCARE	0200021		01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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