Provider Demographics
NPI:1982782124
Name:COMIZIO, RENEE CAROL (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:RENEE
Middle Name:CAROL
Last Name:COMIZIO
Suffix:
Gender:F
Credentials:MD, MS
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Mailing Address - Street 1:PO BOX 122
Mailing Address - Street 2:
Mailing Address - City:NEW VERNON
Mailing Address - State:NJ
Mailing Address - Zip Code:07976-0122
Mailing Address - Country:US
Mailing Address - Phone:973-775-9248
Mailing Address - Fax:877-787-9098
Practice Address - Street 1:101 MADISON AVE STE 200
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-7305
Practice Address - Country:US
Practice Address - Phone:973-775-9248
Practice Address - Fax:877-787-9098
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2023-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NH13578208200000X
NJ25MA08713200208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery