| Ms Jennifer Alicea Revoredo, PA | |
|
20 Valley St Ste 320, South Orange, NJ 07079-2881 | |
| (973) 313-1113 | |
| Not Available |
| Full Name | Ms Jennifer Alicea Revoredo |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 20 Valley St Ste 320, South Orange, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801239363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 25MP00304400 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jennifer Alicea Revoredo, PA 20 Valley St Ste 320, South Orange, NJ 07079-2881 Ph: (973) 313-1113 | Ms Jennifer Alicea Revoredo, PA 20 Valley St Ste 320, South Orange, NJ 07079-2881 Ph: (973) 313-1113 |
Jasmine Joseph, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 707 S Orange Ave, South Orange, NJ 07079 Phone: 973-761-6111 | |
Katheryn Grajales, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 400 S Orange Ave, South Orange, NJ 07079 Phone: 973-761-9000 | |
Mr. Emmanuel Gonzalez, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 511 S Orange Ave, South Orange, NJ 07079 Phone: 973-762-4720 Fax: 973-762-3731 | |
Sharon Shaji, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 20 Valley St, South Orange, NJ 07079 Phone: 973-313-1113 | |
Crystal L Jackson, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 61 1st St, South Orange, NJ 07079 Phone: 973-762-8344 Fax: 973-762-1626 | |
Javier Ferrandiz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 199 N Wyoming Ave, South Orange, NJ 07079 Phone: 646-245-1597 | |
Mohamed Aboelenin, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 707 S Orange Ave, South Orange, NJ 07079 Phone: 732-604-9634 |