Search › New Jersey › 207Q00000X
Fred Revoredo, M.D
NPI 1669588422 · on the registry since 2006 · sole proprietor
Practice
- Address
- 425 15th Ave
Paterson, NJ 07504 - Phone
- (973) 345-4155
- Organisation at this address
- Revoredo Medical Affiliates Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207P00000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey