Provider Demographics
NPI:1023135290
Name:RENDA, MEREDITH MARY (MD)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:MARY
Last Name:RENDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:55 DANBURY RD
Mailing Address - Street 2:
Mailing Address - City:WILTON
Mailing Address - State:CT
Mailing Address - Zip Code:06897-4427
Mailing Address - Country:US
Mailing Address - Phone:203-834-2436
Mailing Address - Fax:203-762-1999
Practice Address - Street 1:10 SOUTH ST. SUITE 206
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:CT
Practice Address - Zip Code:06877-4125
Practice Address - Country:US
Practice Address - Phone:203-431-3363
Practice Address - Fax:203-762-1999
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN49846208000000X
CT47168208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics