Individual provider · Type 1 NPI

Jeffery Joseph Redenbaugh, PA-C

Surgical Physician Assistant · Lutherville, MD

NPI number 1992477137 Active

Practice location

1212 York Rd Ste B201
Lutherville, MD 21093-6242

Fax (410) 825-3787

Mailing address

110 Old Padonia Rd Ste 101
Cockeysville, MD 21030-4944

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician 2086S0129XC0008184 (MD)
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1992477137

Jeffery Joseph Redenbaugh, PA-C's National Provider Identifier is 1992477137, issued on Oct 5, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Lutherville, MD. The record was last updated on Sep 26, 2022.