Theodore John Randolph

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NPI Number Detailed Information

Provider Information:

Name:	Theodore John Randolph
Gender:	M
Provider License Number If Given:	3646

NPI Information:

NPI:	1831197318
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	7/8/2005
Last Update Date:	10/20/2011
Reputation Report:

Provider Business Mailing Address:

Address:	3 MEDICAL DR SUITE C Port Jefferson Station, NY 11776
Phone Number:	6319287785
Fax Number:	6319280316

Provider Business Practice Location Address:

Address:	3 MEDICAL DR SUITE C Port Jefferson Station, NY 11776
Phone Number:	6319287785
Fax Number:	6319280316

Provider Taxonomy:

Primary:	213ES0103X
Secondary (if any):
State:	NY

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About Theodore John Randolph

Theodore John Randolph ( THEODORE JOHN RANDOLPH ) is Definition Podiatrist Physician in Port Jefferson Station, NY. The NPI Number for Theodore John Randolph is 1831197318.

The current location address for Theodore John Randolph is 3 MEDICAL DR SUITE C Port Jefferson Station, NY 11776 and the contact number is 6319287785 and fax number is 6319280316. The mailing address for Theodore John Randolph is 3 MEDICAL DR SUITE C Port Jefferson Station, NY 11776- 6319287785 (mailing address contact number - 6319287785).

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FAQs:

What is the NPI Number for Theodore John Randolph ?

Answer: The NPI Number for Theodore John Randolph is 1831197318

Where is Theodore John Randolph located?

Answer: Theodore John Randolph is located at 3 MEDICAL DR SUITE C Port Jefferson Station, NY 11776.

What is the specialty for Theodore John Randolph ?

Answer: The Specialty of Theodore John Randolph is Definition Podiatrist Physician.

Are there any online reviews for Theodore John Randolph ?

Answer: Yes! Check It Now.

Are there any other health care providers in Port Jefferson Station, NY?

Answer: Yes, there are given below...

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