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
Phone: (908) 688-8800
Fax: (908) 688-2377
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114116464 | NPPES |
New Jersey | MEDICAID | 0198838 | |
New Jersey | MEDICAID | 1023310500001 |
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