Theodore John Randolph, DPM
Theodore John Randolph, DPM is a Foot & Ankle Surgery Podiatrist in Port Jefferson Station, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2005
What do these letters mean?
- DPM — Doctor of Podiatric Medicine
- A foot and ankle physician and surgeon.
Practice location Address checks out
3 Medical Dr Ste CPort Jefferson Station, NY 11776-1597
Phone: (631) 928-7785
Fax: (631) 928-0316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Foot & Ankle Surgery Podiatrist (primary) | Taxonomy 213ES0103X · Licence 003646 (NY) |
|---|
Record details
| NPI number | 1831197318 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DPM |
| Sole proprietor | Yes |
| NPI enumerated | July 8, 2005 |
| Last updated in NPPES | October 20, 2011 |
Other providers in Port Jefferson Station
-
Ronika Sethi, DPM
1 Medical Dr Ste B, Port Jefferson Station, NY 11776-1599 · (631) 928-8383
-
Dr. Meenakshi Singhal, DPM
1 Medical Dr Ste B, Port Jefferson Station, NY 11776-1599 · (631) 928-8383
-
Theodore Randolph, DPM
3 Medical Dr Ste C, Port Jefferson Station, NY 11776-1597 · (631) 928-7785