Randazzo, Domenick N

Randazzo, Domenick N is an individual health care provider with primary practice located at 8 Tempe Wick Rd , Mendham NJ 07945-1814. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Randazzo, Domenick N can be contacted via phone (973) 543-2288.

Contact Information

Primary practice address
8 Tempe Wick Rd Mendham NJ 07945-1814
Phone: (973) 543-2288
Fax: (973) 543-0637
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA56798 New Jersey
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 25MA05679800 New Jersey

Profile Details

NPI number 1700862919
LBN Legal business name Randazzo, Domenick N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Jan 31st, 2022 - about 4 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 1700862919 NPPES
New Jersey MEDICAID 7248806

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