Theodore John Randolph is a Foot & Ankle Surgery Podiatrist based in Port Jefferson Station, NY and is specialized in Foot & Ankle Surgery. Theodore John Randolph practices in Port Jefferson Station, NY and has the professional credentials of DPM. The NPI Number for Theodore John Randolph is 1831197318 and holds a License No. 003646 (New York).
The current practice location address for Theodore John Randolph is 3 Medical Dr, Port Jefferson Station, NY and can be reached out via phone at 631-928-7785 and via fax at 631-928-0316.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 791048 | 05 | NY |
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