Doctor Name: | TERESITA C REDONDO |
NPI Number: | 1013098714 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 25MA03608200 |
Business Practice Address: | 94 Old Short Hills Rd Livingston, NJ - 070395672 |
Business Phone Number: | 9733225763 |
Business Fax Number: | |
Mailing Address: | Po Box 66689, FALMOUTH |
State: | ME |
Postal Code: | 041056689 |
Phone Number: | 8666898862 |
Fax Number: | 2073477401 |
NPI Enumeration Date: | 10/18/2006 |
NPI Last Update Date: | 01/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207ZI0100X |
License Number: | 25MA03608200 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pathology |
Taxonomy Specialization: | Immunopathology |
Taxonomy Definition: | A pathologist who specializes in the diagnosis of immunologic diseases. |