Individual
DR. JEREMIAH S. REDSTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 S ORANGE AVE STE 170, LIVINGSTON, NJ 07039-5817
(212) 249-1500
Mailing address
212 WARREN ST, 11N, NEW YORK, NY 10282-5802
(212) 249-1500
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
256024
NY
208200000X
Plastic Surgery Physician
25MA08738100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0455237
—
NJ
Enumeration date
01/28/2008
Last updated
05/23/2023
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