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Contact Information

CHRISTOPHER C RANDOLPH, MD
171 GRANDVIEW AVE STE 201
WATERBURY, CT06708-2520
 Phone: 203-578-4630
 Fax: 203-578-4629
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy

207KA0200X 03 Physician/Allergy/ Immunology
Indicates primary specialty

NPI Profile & details for CHRISTOPHER C RANDOLPH · (Male)

NPI Number 1437142551
Status Active
Credentials MD
Entity Individual
Enumeration date 08/24/2005
Last updated 05/17/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 027063
  • CT Medicaid 00127063600
Hospital affiliation(s)
  • WATERBURY HOSPITAL - (Acute Care)
    64 ROBBINS ST
    WATERBURY, CT 06721
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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