JOHN N RENNEBURG MD NPI 1861466716

NPI Information

NPI: 1861466716
Provider Name: JOHN N RENNEBURG, MD
Classification: Allergy & Immunology - 207K00000X
Entity Type: Individual
Address:
1 LYONS ST
DEDHAM, MA
ZIP 02026
Phone: (781) 329-1400
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John N Renneburg, MD is an allergy immunology in Dedham, MA. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. John N Renneburg, MD NPI is 1861466716. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 LYONS ST
DEDHAM, MA
ZIP 02026-599
Phone: (781) 329-1400
Fax: (781) 461-8691

The enumeration date for this NPI number is 2/16/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207K00000X	Allergy & Immunology		70756	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	J13537	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
2	F53124	MEDICARE UPIN
3	7107816	OTHER		CIGNA HEALTH PLAN
4	919279	OTHER		FIRST HEALTH
5	0200021	OTHER		EVERCARE
6	J13537	OTHER		BLUE SHIELD INDEMNITY
7	5930251	OTHER		AETNA US HEALTHCARE
8	J13537	OTHER		BLUE CARE ELECT
9	J13537	OTHER		BLUE SHIELD HMO BLUE
10	27197	OTHER		HEALTHY START
11	J13537	OTHER		MEDICARE B
12	784075	OTHER		MVP HEALTH CARE
13	27197	OTHER		CHILDRENS MEDICAL SECURIT
14	3100588	OTHER		MEDICAID WELFARE
15	9900291	OTHER		FALLON COMMUNITY HEALTH P
16	AA2169	OTHER		HARVARD PILGRIM HEALTHCAR
17	3100588	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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