Individual
MICHAEL ANTHONY RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 E 33RD ST, SUITE 136, BALTIMORE, MD 21218-3322
(410) 554-6489
Mailing address
1104 VALEWOOD RD, TOWSON, MD 21286-1653
(410) 337-7205
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D43680
MD
Other
Enumeration date
12/04/2006
Last updated
01/23/2012
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