Organization

Revoredo Medical Affiliates Llc

Family Medicine Physician in Paterson, NJ(View on Map)

Legal Business Name

Revoredo Medical Affiliates Llc

NPI Number

1881927358

NPI Type

Organization

Enumeration Date

09/15/2009

Specialties

(Taxonomies)

Code

207Q00000X
207P00000X

Primary Taxonomy

Yes
No

Licenses

State

New Jersey

License Number

25MA07147400

Contact
Information

Purpose

Mailing
Location

Address

425 15TH AVE
425 15TH AVE

City

Paterson
Paterson

State

NJ
NJ

Postal Code

07504-1811
07504-1811

Country

US
US

Telephone Number

(973) 345-4024
(973) 345-4024

Authorized Official

Name

Dr. Fred Revoredo

Title or Position

PRESIDENT

Telephone Number

(973) 345-4024

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/15/2009

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