Organization
M. RANDY DALBOW,M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILTON RANDALL DALBOW (PHYSICIAN)
(724) 935-9696
Entity
Organization
Contact information
Practice address
2000 CORPORATE DR, SUITE 100, WEXFORD, PA 15090-7611
(724) 935-9696
(724) 935-8190
Mailing address
2000 CORPORATE DR, SUITE 100, WEXFORD, PA 15090-7611
(724) 935-9696
(724) 935-8190
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD041841-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
616532
BLUE SHEILD
PA
Enumeration date
07/29/2008
Last updated
07/29/2008
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