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1124333901
JORGE L REVOREDO
PATERSON, NJ
NPI
1124333901
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NJ 25MA02344800)
Enumeration Date
2010-08-17
Last Update Date
2010-08-17
Business Address
Dr. JORGE L REVOREDO M.D.
425 15TH AVE
PATERSON, NJ 07504-1811
Phone number: 973-345-4024
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Mailing Address
Dr. JORGE L REVOREDO M.D.
425 15TH AVE
PATERSON, NJ 07504-1811
Phone number: 973-345-4024
Copy
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