Randazzo, Ciro Giuseppe

Randazzo, Ciro Giuseppe is an individual health care provider with primary practice located at 1057 Commerce Ave , Union NJ 07083-5025. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Randazzo, Ciro Giuseppe can be contacted via phone (908) 688-8800.

Contact Information

Primary practice address
1057 Commerce Ave Union NJ 07083-5025
Fax: (908) 688-2377
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MT182279 Pennsylvania
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 25MA08517100 New Jersey
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD-433793 Pennsylvania

Profile Details

NPI number 1114116464
LBN Legal business name Randazzo, Ciro Giuseppe
Credentials MD., MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2007
Last updated Feb 5th, 2014 - about 10 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 1114116464 NPPES
New Jersey MEDICAID 0198838
New Jersey MEDICAID 1023310500001

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