Individual
BRUCE PAUL RANDAZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1428 HAMPTON RD, RYDAL, PA 19046-1211
(484) 865-5502
Mailing address
1428 HAMPTON RD, RYDAL, PA 19046-1211
(484) 865-5502
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD 047054-L
PA
Other
Enumeration date
12/20/2007
Last updated
12/20/2007
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