Individual
JEFFERY JOSEPH REDENBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1212 YORK RD STE B201, LUTHERVILLE, MD 21093-6242
(410) 824-3787
(410) 825-3787
Mailing address
110 OLD PADONIA RD STE 101, COCKEYSVILLE, MD 21030-4944
(410) 825-4530
(410) 825-3787
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
C0008184
MD
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
10/05/2021
Last updated
09/26/2022
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