Provider Demographics
NPI:1124087424
Name:REDMOND, MATTHEW J (DPT)
Entity type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:J
Last Name:REDMOND
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:210 S SHORE RD STE 203
Mailing Address - Street 2:
Mailing Address - City:MARMORA
Mailing Address - State:NJ
Mailing Address - Zip Code:08223-1271
Mailing Address - Country:US
Mailing Address - Phone:609-390-2400
Mailing Address - Fax:609-390-9587
Practice Address - Street 1:210 S SHORE RD STE 203
Practice Address - Street 2:
Practice Address - City:MARMORA
Practice Address - State:NJ
Practice Address - Zip Code:08223-1271
Practice Address - Country:US
Practice Address - Phone:609-390-2400
Practice Address - Fax:609-390-9587
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2020-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00737700225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist