Redondo, Teresita C

Redondo, Teresita C is an individual health care provider with primary practice located at 94 Old Short Hills Rd , Livingston NJ 07039-5672. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Immunopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Redondo, Teresita C can be contacted via phone (973) 322-5763.

Contact Information

Primary practice address
94 Old Short Hills Rd Livingston NJ 07039-5672
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Immunopathology 207ZI0100X 25MA03608200 New Jersey
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 25MA03608200 New Jersey

Profile Details

NPI number 1013098714
LBN Legal business name Redondo, Teresita C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Jan 12th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013098714 NPPES
New Jersey MEDICAID 1753801

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