Individual
RANDOLPH A. DECARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 CHARLES ST, LA PLATA, MD 20646-5930
(301) 609-4000
(301) 609-4410
Mailing address
701 CHARLES ST, LA PLATA, MD 20646-5930
(301) 609-4000
(301) 609-4410
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D44918
MD
Other
Enumeration date
09/29/2005
Last updated
01/08/2008
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