MS. Jennifer Alicea Revoredo, PA
MS. Jennifer Alicea Revoredo, PA is a Medical Physician Assistant in South Orange, New Jersey. Licensed in New Jersey. Registered with an NPI since 2013.
- Licensed in
- NJ
- In the registry since
- 2013
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
20 Valley St Ste 320South Orange, NJ 07079-2881
Phone: (973) 313-1113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 25MP00304400 (NJ) |
|---|
Record details
| NPI number | 1801239363 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | April 15, 2013 |
| Last updated in NPPES | March 7, 2017 |
Other providers in South Orange
-
Mr. Emmanuel Gonzalez, PA
511 S Orange Ave, South Orange, NJ 07079-2636 · (973) 762-4720
-
Shyla Imani Kissoon, PA-C
20 Valley St Ste 320, South Orange, NJ 07079-2881 · (973) 313-1113