Individual
JOSEPHINE RANDAZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4160 LITTLE YORK RD, SUITE 20, DAYTON, OH 45414-5800
(937) 454-9527
(937) 454-9527
Mailing address
4160 LITTLE YORK RD, SUITE 20, DAYTON, OH 45414-5800
(937) 454-9527
(937) 454-9532
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
02001807
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000358581
BCBS
IN
05
—
0105833
—
OH
05
—
200126780
—
IN
Enumeration date
06/15/2006
Last updated
01/04/2021
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