Individual
PETER J REDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
207 FOOTE AVE, JAMESTOWN, NY 14701-7077
(716) 487-0141
Mailing address
PO BOX 1258, JAMESTOWN, NY 14702-1258
(716) 664-8120
(716) 664-8337
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A162458
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01159420
—
NY
Enumeration date
05/04/2006
Last updated
02/05/2021
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