Provider Demographics
NPI:1700255445
Name:HILLARY G REDLIN MD, A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:HILLARY G REDLIN MD, A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:HILLARY
Authorized Official - Middle Name:GREEN
Authorized Official - Last Name:REDLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-886-8538
Mailing Address - Street 1:770 TAMALPAIS DR STE 310
Mailing Address - Street 2:
Mailing Address - City:CORTE MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:94925-1737
Mailing Address - Country:US
Mailing Address - Phone:415-886-8538
Mailing Address - Fax:415-886-8537
Practice Address - Street 1:770 TAMALPAIS DR STE 310
Practice Address - Street 2:
Practice Address - City:CORTE MADERA
Practice Address - State:CA
Practice Address - Zip Code:94925-1737
Practice Address - Country:US
Practice Address - Phone:415-886-8538
Practice Address - Fax:415-886-8537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-23
Last Update Date:2019-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA70776207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPO1418975OtherRAILROAD MEDICARE