Theodore Randolph,dpm
NPI #1720264252 in Port Jefferson Station, New York
Provider Information
- NPI Number
- 1720264252
- Entity Type
- Organization
- Organization Name
- Theodore Randolph,dpm
- Primary Specialty
- Podiatrist - Foot & Ankle Surgery
- Enumeration Date
- Jan 15, 2008
- Last Updated
- Jan 16, 2008
Practice Location
- Address
- 3 MEDICAL DR
- Address 2
- SUITE C
- State
- New York
- ZIP Code
- 11776-1597
- Phone
- (631) 928-7785
Authorized Official
- Name
- DR. THEODORE JOHN RANDOLPH, DPM
- Title
- OWNER
- Phone
- (631) 928-7785
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery |
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| Theodore John Randolph, D.P.M | AI Deep Dive |
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