Fred Revoredo is a Family Medicine in Paterson, New Jersey. Fred Revoredo practices all healthcare services and medical treatments related to Family 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 |
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Address | 425 15th Avenue, Paterson, New Jersey |
Phone Number | 9733454155 |
Fax Number | |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1669588422 |
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Provider Enumeration Date | 2006-08-22 |
Last Updated Date | 2009-09-09 |
Provider Mailing Address Detail
Address | 425 15th Avenue |
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City | Paterson |
State | New Jersey (NJ) |
Post Code | 75041811 |
Phone Number | 9733454155 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | 25MA07147400 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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 Family Medicine, and the corresponding taxonomy code is 207Q00000X.
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.
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