Marosok, Randall David

Marosok, Randall David is an individual health care provider with primary practice located at 660 Summit Crossing Pl Suite 306, Gastonia NC 28054-2104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Marosok, Randall David can be contacted via phone (704) 671-7830.

Contact Information

Primary practice address
660 Summit Crossing Pl Suite 306 Gastonia NC 28054-2104
Phone: (704) 671-7830
Fax: (704) 671-7835
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 28683 South Carolina
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 38130 North Carolina

Profile Details

NPI number 1780671479
LBN Legal business name Marosok, Randall David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Aug 29th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780671479 NPPES
South Carolina MEDICAID GP1016

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