# DR. RANDOLPH PATRICK SCOTT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1124104138
- **Gender:** Man
- **Credential:** M.D., PHARM.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 198637 | NY | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 25MA06186400 | NJ | — |

## Other

- **Enumeration date:** 10/31/2006
- **Last updated:** 11/30/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02150434 | — | NY |
| 05 | — | 8142505 | — | NJ |