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
Phone: (973) 322-5763
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013098714 | NPPES |
New Jersey | MEDICAID | 1753801 |
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