Provider Demographics
NPI:1639775299
Name:RENU PHYSICAL MEDICINE CENTER, PLLC
Entity type:Organization
Organization Name:RENU PHYSICAL MEDICINE CENTER, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHUCHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-279-3398
Mailing Address - Street 1:2275 SWALLOW HILL RD STE 2600
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-1643
Mailing Address - Country:US
Mailing Address - Phone:412-279-3398
Mailing Address - Fax:412-279-3828
Practice Address - Street 1:2275 SWALLOW HILL RD STE 2600
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-1643
Practice Address - Country:US
Practice Address - Phone:412-279-3398
Practice Address - Fax:412-279-3828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-09
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies