Randazzo, William Salvator

Randazzo, William Salvator is an individual health care provider with primary practice located at 171 Ashley Ave , Charleston SC 29425-8908. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Randazzo, William Salvator can be contacted via phone (843) 792-1269.

Contact Information

Primary practice address
171 Ashley Ave Charleston SC 29425-8908
Phone: (843) 792-1269
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 29669 South Carolina
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 25MA04387300 New Jersey

Profile Details

NPI number 1578573028
LBN Legal business name Randazzo, William Salvator
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Oct 22nd, 2020 - about 6 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 1578573028 NPPES
South Carolina MEDICAID 296699
South Carolina Other 201940413

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