Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. FRED REVOREDO, M.D.
Active Sole ProprietorDR. FRED REVOREDO, M.D. is a Family Medicine healthcare provider located in PATERSON, New Jersey. NPI 1669588422 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PATERSON, NJ
Registration Details
- NPI Number
- 1669588422
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2006 (19.794198825484 yrs)
- Last Updated
- Jul 29, 2024
- Licenses
-
25MA07147400 (NJ)25MA07147400 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
425 15TH AVEPATERSON, NJ, 075041811Browse NJ providers · Browse ZIP 07504
- Phone
- 9733454155
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in PATERSON, NJ
| Name | Credential | NPI |
|---|---|---|
| EMMANUEL AMILCAR GACHETTE | MD | 1306874979 |
| HASNA KAZMOUZ | M.D. | 1548374747 |
| DR. YLONKA GARCIA-MAROTTA | MD | 1215190178 |
| SAMIR ZAINA | MD | 1699906354 |
| SHIDEH DOROUDI | MD | 1427452465 |
| DR. CHANDNI J PATEL | MD | 1023570645 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.