Dr Brian Redondo, PSYD is a
Psychologist - Clinical based in Fairton, New Jersey. Dr Brian Redondo is licensed to practice in Massachusetts (license number 7595-PY-PR) and his current practice location is
655 Fairton Millville Rd, Fairton, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(856) 453-4078.
NPI number for Dr Brian Redondo is 1063902641 and his current mailing address is 106 Nursery Dr, Glassboro, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063902641.
Healthcare Provider's Profile
| Full Name | Dr Brian Redondo |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 655 Fairton Millville Rd, Fairton, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063902641
- Provider Enumeration Date: 05/18/2018
- Last Update Date: 05/18/2018
Medical Identifiers
Medical identifiers for Dr Brian Redondo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063902641 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 7595-PY-PR (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Brian Redondo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Brian Redondo, PSYD
106 Nursery Dr,
Glassboro, NJ 08028-3114
Ph: () - | Dr Brian Redondo, PSYD
655 Fairton Millville Rd,
Fairton, NJ 08320-2000
Ph: (856) 453-4078 |
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