THEODORE RANDOLPH,DPM

Podiatrist - Foot & Ankle Surgery

Active Organization
NPI: 1720264252

Practice Address

3 MEDICAL DR
SUITE C
Port Jefferson Station, NY 11776

Phone: (631) 928-7785

Specialties

Specialty Code Primary License
Podiatrist - Foot & Ankle Surgery 213ES0103X Yes 003646 (NY)

Frequently Asked Questions

NPI 1720264252 is the National Provider Identifier for THEODORE RANDOLPH,DPM, a Podiatrist - Foot & Ankle Surgery provider located in Port Jefferson Station, NY. This NPI was enumerated on January 15, 2008.

Quick Facts

NPI
1720264252
Type
Organization
Enumerated
Jan 15, 2008
Last Updated
Jan 16, 2008

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