Individual
KRISTEN M. RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 COOPER PLZ RM 211, CAMDEN, NJ 08103-1438
(568) 342-2000
Mailing address
3 COOPER PLZ RM 504, CAMDEN, NJ 08103-1438
(856) 342-2000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
P23-00578
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2022
Last updated
08/03/2023
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