person
Ms. Cynthia Randolph, PAC
Medical Physician Assistant in Ocean City, Maryland
NPI 1326113242

Cynthia Randolph is a Medical Physician Assistant based in Ocean City, MD and is specialized in Medical. Cynthia Randolph practices in Ocean City, MD and has the professional credentials of PAC. The NPI Number for Cynthia Randolph is 1326113242 and holds a License No. C0002701 (Maryland).

The current practice location address for Cynthia Randolph is 12547 Ocean Gateway, Ocean City, MD and can be reached out via phone at 410-213-0119 and via fax at 410-213-2875.

Location: 12547 Ocean Gateway, Ocean City, MD, 21842-9341
person
Provider Profile Details
NPI Number
1326113242
Provider Name
Cynthia Randolph
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
12547 Ocean Gateway, Ocean City, MD, 21842-9341
Phone Number
410-213-0119
Fax Number
410-213-2875
Provider Enumeration Date
11/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1032642 01 MD P.A.C. CERTIFICATION
C5-0000497 01 DE P.A. LICENSE
C0002701 01 MD P.A, LICENSE
PA0202 01 DE PRESCRIBE NARCOTICS
PA55377 01 MD LICENSE TO PRESCRIBE CONT
institution
Provider Business Practice Location Address Details
Address
12547 Ocean Gateway
City
State
Zip
21842-9341
Phone Number
410-213-0119
Fax Number
410-213-2875
person
Provider Business Mailing Address Details
Address
12547 Ocean Gateway
City
State
Zip
21842-9341
Phone Number
410-213-0119
Fax Number
410-213-2875
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
C0002701 (Maryland)
Definition
Definition to come...
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