Randolph, Christopher Cronin

Randolph, Christopher Cronin is an individual health care provider with primary practice located at 171 Grandview Ave Ste 201 , Waterbury CT 06708-2520. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Randolph, Christopher Cronin can be contacted via phone (203) 578-4630.

Contact Information

Primary practice address
171 Grandview Ave Ste 201 Waterbury CT 06708-2520
Fax: (203) 578-4629
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 027063 Connecticut

Profile Details

NPI number 1437142551
LBN Legal business name Randolph, Christopher Cronin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated May 17th, 2023 - about 2 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 1437142551 NPPES
Connecticut MEDICAID 00127063600

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