Theodore John Randolph D.P.M

  • NPI 1831197318
According to our database, the NPI number for Theodore John Randolph D.P.M is 1831197318 and activated since 18 years ago. Theodore John Randolph D.P.M is an individual provider who specializes in Foot & Ankle Surgery, and the primary practice location is 3 Medical Dr, Port Jefferson Station, NY 11776. You can also contact Theodore John Randolph D.P.M via telephone number is (631) 928-7785. Provider NPI information was last updated on 10/20/2011.

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Overview of Theodore John Randolph D.P.M

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/08/2005
  • Last updated: 10/20/2011

Primary Scrop of Practice

  • Taxonomy Code: 213ES0103X
  • Specialty: Foot & Ankle Surgery
  • License Number: 003646
  • License State: NY

Provider Mailing Address

  • Address: 3 Medical Dr
    Suite C
    Port Jefferson Station, NY 11776
  • Phone: 631-928-7785
  • Fax: 631-928-0316

Provider Practice Location

  • Address: 3 Medical Dr
    Suite C
    Port Jefferson Station, NY 11776
  • Phone: 631-928-7785
  • Fax: 631-928-0316

Scope of Practice

  • Taxonomy Code: 213ES0103X
  • Specialty: Foot & Ankle Surgery
  • License Number: 003646
  • License State: NY
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 791048
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: NY
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Theodore John Randolph D.P.M?
  • A: The npi number for Theodore John Randolph D.P.M is 1831197318.
  • Q: What are Theodore John Randolph D.P.M's specialties?
  • A: Theodore John Randolph D.P.M's specialties are Foot & Ankle Surgery and different specialities.
  • Q: What is the medical license for Theodore John Randolph D.P.M?
  • A: The medical license number for Theodore John Randolph D.P.M is 003646 and issued in NY in USA.
  • Q: Where is Theodore John Randolph D.P.M practice location?
  • A: Theodore John Randolph D.P.M is practicing at 3 Medical Dr, Port Jefferson Station, NY 11776.
  • Q: How to contact Theodore John Randolph D.P.M?
  • A: You can contact Theodore John Randolph D.P.M via 631-928-7785.
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