Provider Demographics
NPI:1255349957
Name:BURGHLI, RENA F (DO)
Entity type:Individual
Prefix:DR
First Name:RENA
Middle Name:F
Last Name:BURGHLI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10 AUER CT
Mailing Address - Street 2:SUITE C
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-5848
Mailing Address - Country:US
Mailing Address - Phone:732-254-7601
Mailing Address - Fax:732-254-7603
Practice Address - Street 1:10 AUER CT
Practice Address - Street 2:SUITE C
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-5848
Practice Address - Country:US
Practice Address - Phone:732-254-7601
Practice Address - Fax:732-254-7603
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB07863800207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine