Deger, Randolph

Deger, Randolph is an individual health care provider with primary practice located at 200 Bowman Drive Suite E315, Voorhees NJ 08043-4520. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Deger, Randolph can be contacted via phone (856) 247-7310.

Contact Information

Primary practice address
200 Bowman Drive Suite E315 Voorhees NJ 08043-4520
Fax: (856) 247-7309
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 25MA07854700 New Jersey

Profile Details

NPI number 1598754400
LBN Legal business name Deger, Randolph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Oct 20th, 2020 - 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 1598754400 NPPES
New Jersey MEDICAID 0069426

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