Individual
DR. DOMENICK N RANDAZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8 TEMPE WICK RD, MENDHAM, NJ 07945-1814
(973) 543-2288
(973) 543-0637
Mailing address
PO BOX 416457, BOSTON, MA 02241-1735
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MA56798
NJ
207RI0011X
Interventional Cardiology Physician
Primary
25MA05679800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7248806
—
NJ
Enumeration date
12/20/2005
Last updated
01/31/2022
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