Provider Demographics
NPI:1699519900
Name:AUDET, RENE J
Entity type:Individual
Prefix:
First Name:RENE
Middle Name:J
Last Name:AUDET
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RENE
Other - Middle Name:J
Other - Last Name:TOBIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:338 STOKES RD
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-8477
Mailing Address - Country:US
Mailing Address - Phone:609-451-5404
Mailing Address - Fax:609-451-5402
Practice Address - Street 1:338 STOKES RD
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:NJ
Practice Address - Zip Code:08055-8477
Practice Address - Country:US
Practice Address - Phone:609-451-5404
Practice Address - Fax:609-451-5402
Is Sole Proprietor?:No
Enumeration Date:2024-06-21
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic