Fred Revoredo in Paterson - Emergency Medicine
Fred Revoredo - NPI 1669588422
Fred Revoredo is a Emergency Medicine in Paterson, New Jersey. Fred Revoredo practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Fred Revoredo is 1669588422. The last update date is 2009-09-09.
Fred Revoredo's current location address is 425 15th Avenue, Paterson, New Jersey. You can contact this provider via phone number 9733454155. The mailing address for Fred Revoredo is 425 15th Avenue, Paterson, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fred Revoredo |
|---|---|
| Address | 425 15th Avenue, Paterson, New Jersey |
| Phone Number | 9733454155 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1669588422 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2009-09-09 |
Provider Mailing Address Detail
| Address | 425 15th Avenue |
|---|---|
| City | Paterson |
| State | New Jersey (NJ) |
| Post Code | 75041811 |
| Phone Number | 9733454155 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 25MA07147400 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8376808 | NJ | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Fred Revoredo?
The Fred Revoredo has been issued the NPI (National Provider Identifier) 1669588422 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Fred Revoredo's facilities are geographically located?
The facilities of Fred Revoredo are physically situated at the following location: 425 15Th Avenue, Paterson, NJ, 75041811.
What is the Fred Revoredo's specialty and taxonomy code?
The Fred Revoredo's specialty is Emergency Medicine, and the corresponding taxonomy code is 207P00000X.
When was the Fred Revoredo's 1669588422 issued?
The Fred Revoredo's 1669588422 was issued on 2006-08-22.
As of what date was the information regarding Fred Revoredo, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Fred Revoredo, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-09-09.