Revoredo, Jorge L

Revoredo, Jorge L is an individual health care provider with primary practice located at 425 15Th Ave , Paterson NJ 07504-1811. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Revoredo, Jorge L can be contacted via phone (973) 345-4024.

Contact Information

Primary practice address
425 15Th Ave Paterson NJ 07504-1811
Phone: (973) 345-4024
Fax: (973) 345-4156
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA02344800 New Jersey

Profile Details

NPI number 1124333901
LBN Legal business name Revoredo, Jorge L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2010
Last updated Aug 17th, 2010 - about 15 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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