Individual
TERESITA C REDONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
(973) 322-5763
Mailing address
PO BOX 66689, FALMOUTH, ME 04105-6689
(866) 689-8862
(207) 347-7401
Taxonomy
Speciality
Code
Description
License number
State
207ZI0100X
Immunopathology Physician
25MA03608200
NJ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA03608200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1753801
—
NJ
Enumeration date
10/18/2006
Last updated
01/12/2010
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