Organization
MICHAEL A. RANDOLPH, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A RANDOLPH M.D. (OWNER)
(410) 261-8977
Entity
Organization
Contact information
Practice address
200 E 33RD ST, SUITE 136, BALTIMORE, MD 21218-3322
(410) 261-8997
(410) 337-0385
Mailing address
200 E 33RD ST, SUITE 136, BALTIMORE, MD 21218-3322
(410) 261-8997
(410) 337-0385
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0034680
MD
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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