Theodore John Randolph, D.P.M
NPI #1831197318 in Port Jefferson Station, New York
Provider Information
- NPI Number
- 1831197318
- Entity Type
- Individual
- Name
- Theodore John Randolph, D.P.M
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Podiatrist - Foot & Ankle Surgery
- Credential
- D.P.M
- Enumeration Date
- Jul 8, 2005
- Last Updated
- Oct 20, 2011
Practice Location
- Address
- 3 MEDICAL DR
- Address 2
- SUITE C
- State
- New York
- ZIP Code
- 11776-1597
- Phone
- (631) 928-7785
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery |
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Organizations
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|---|---|
| Theodore Randolph,dpm | AI Deep Dive |
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