Individual ProviderRobert M DirenzoFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address2225 E Evesham Rd, Suite 101, Voorhees, NJ 08043-1557(856) 795-4330(856) 291-6818PECOS EnrollmentBased on the most recent information from CMS, provider Robert M Direnzo does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1114975679Provider TypeIndividualFull NameDirenzo, Robert MTitleDr.CredentialM.DGenderMaleSole ProprietorNoEnumeration Date5/5/2006Last Updated3/17/2014Contact InformationPractice LocationPractice Address2225 E Evesham Rd, Suite 101, Voorhees, NJ 08043-1557Phone(856) 795-4330Fax(856) 325-3704Mailing LocationMailing Address7000 Atrium Way, Suite 6, Mount Laurel, NJ 08054-3917Phone(856) 291-6818Fax(856) 291-6819Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense25MA4363600New JerseyProvider IdentifiersIDDescriptionIssuerID1481304DescriptionMedicaidIssuerUnlistedNew Jersey