Individual
DR. CHRISTOPHER CRONIN RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
171 GRANDVIEW AVE STE 201, WATERBURY, CT 06708-2520
(203) 578-4630
(203) 578-4629
Mailing address
171 GRANDVIEW AVE STE 201, WATERBURY, CT 06708-2520
(203) 578-4630
(203) 578-4629
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
027063
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00127063600
—
CT
Enumeration date
08/24/2005
Last updated
05/17/2023
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