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
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician | 2086S0129X | C0008184 (MD) |
| Physician Assistant | 363A00000X | None listed |
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
Other surgical physician assistant providers in Lutherville
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.