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Contact Information

DOMENICK N RANDAZZO, MD
8 TEMPE WICK RD
MENDHAM, NJ07945-1814
 Phone: 973-543-2288
 Fax: 973-543-0637
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for DOMENICK N RANDAZZO · (Male)

NPI Number 1700862919
Status Active
Credentials MD
Entity Individual
Enumeration date 12/20/2005
Last updated 01/31/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA05679800
  • NJ License # MA56798
  • NJ Medicaid 7248806
Hospital affiliation(s)
  • CHILTON HOSPITAL - (Acute Care)
    97 WEST PARKWAY
    POMPTON PLAINS, NJ 07444
  • HACKETTSTOWN REGIONAL MEDICAL CENTER - (Acute Care)
    651 WILLOW GROVE ST
    HACKETTSTOWN, NJ 07840
  • MORRISTOWN MEMORIAL HOSPITAL - (Acute Care)
    100 MADISON AVE
    MORRISTOWN, NJ 07962
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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