Randazzo, Vincent
Randazzo, Vincent is an individual health care provider with primary practice located at 248 Broad St , Red Bank NJ 07701-2020. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Randazzo, Vincent can be contacted via phone (732) 530-3433.Contact Information
Primary practice address
248 Broad St
Red Bank NJ 07701-2020
Phone: (732) 530-3433
Fax: (732) 758-1953
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | New Jersey |
Profile Details
| NPI number | 1407838691 |
|---|---|
| LBN Legal business name | Randazzo, Vincent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Jul 13th, 2007 - about 17 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 | 1407838691 | NPPES |
| New Jersey | MEDICAID | 1416707 | |
| New Jersey | Other | 0K4741 | |
| New Jersey | Other | 950251 | |
| New Jersey | Other | 546837 | |
| New Jersey | Other | 6731746 | |
| New Jersey | Other | 950252 | |
| New Jersey | Other | MP175 | |
| New Jersey | Other | 274026 |
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