Organization
CHRISTOPHER C RANDOLPH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER CRONIN RANDOLPH M.D. (CEO)
(203) 755-7080
Entity
Organization
Contact information
Practice address
1389 W MAIN ST, SUITE 205, WATERBURY, CT 06708-3104
(203) 755-7080
(203) 346-6244
Mailing address
1389 W MAIN ST, SUITE 205, WATERBURY, CT 06708-3104
(203) 755-7080
(203) 346-6244
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
027063
CT
Other
Enumeration date
03/13/2008
Last updated
06/20/2008
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