DR. CHRISTOPHER CRONIN RANDOLPH


Address: 1389 W Main St, Suite 205, Waterbury, CT 06708-3104
Phone: 2037557080

DR. CHRISTOPHER CRONIN RANDOLPH (NPI# 1437142551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437142551
Entity Type Individual
Full Name DR. CHRISTOPHER CRONIN RANDOLPH
Credential M.D.
Practice Address 1389 W Main St
Suite 205
Waterbury
CT 06708-3104
Practice Telephone 2037557080
Practice Fax Number 2033466244
Mailing Telephone 2037557080
Mailing Fax Number 2033466244
Enumeration Date 2005-08-24
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207KA0200X Allergy & Immunology
Specialization: Allergy
027063 CT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CT 00127063600 05

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Office Location

Street Address 1389 W MAIN ST
SUITE 205
City WATERBURY
State CT
Zip Code 06708-3104

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932613312 Michele M Griffith Occupational Therapy Assistant 1389 W Main St, Waterbury, CT 06708-3104 2017-11-21
1548682446 Arabella Christian Dentist 1389 W Main St, #208, Waterbury, CT 06708-3104 2014-01-10
1447688098 Ajin Mathew Physician Assistant 1389 W Main St, Suite 120, Waterbury, CT 06708-3104 2013-10-17
1932456068 Headzone LLC Clinic/Center 1389 W Main St, Suite 325, Waterbury, CT 06708-3104 2012-08-08
1376898676 Linda Eileen Aspenwind Counselor 1389 W Main St, Suite 312, Waterbury, CT 06708-3104 2012-07-23
1427329416 Sedat S. Shaban, M.d.,p.c. Pediatrics 1389 W Main St, Suite 308, Waterbury, CT 06708-3104 2012-01-23
1235407800 Nancy Dagostino Social Worker 1389 W Main St, Suite 312, Waterbury, CT 06708-3104 2011-12-09
1629387097 Erin Marie Floridia Physician Assistant 1389 W Main St, Suite 325, Waterbury, CT 06708-3104 2010-10-01
1780839977 A.aziz Richi, Md, LLC Specialist 1389 W Main St, Suite 322, Waterbury, CT 06708-3104 2008-12-01
1255584314 Abdulmasih Zarif, Md, LLC Specialist 1389 W Main St, Suite 321, Waterbury, CT 06708-3104 2008-11-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952864787 Sidhant Singh Student in an Organized Health Care Education/Training Program Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 2019-04-09
1023574753 Santa Maria & Schneider D.m.d Waterbury LLC Dentist 276 Highland Ave., Waterbury, CT 06708 2019-02-19
1548766959 Caroline Johnssen Student in an Organized Health Care Education/Training Program Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 2018-04-04
1992209530 Valley Wellness Consulting Group LLC Social Worker 969 W Main Street, Suite 3e, Waterbury, CT 06708 2018-03-20
1306346457 C&s Family Dental Waterbury, LLC Dentist 1630 Watertown Ave, Waterbury, CT 06708 2018-02-15
1447759865 Inurse Homecare, LLC. Home Health 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 2018-02-12
1619423977 Robert Girard II Counselor 969 West Main Street, Suite 1 D, Waterbury, CT 06708 2016-08-28
1457734360 Alternatives, Inc. Intermediate Care Facility, Mentally Retarded 148 Highview St, Waterbury, CT 06708 2015-07-09
1407266901 Maria Munoz Obstetrics & Gynecology 140 Grandview Ave Ste 202, Waterbury, CT 06708 2014-05-06
1922420330 Danielle Moraes Social Worker 276 Highland Av 2nd Fl North, Waterbury, CT 06708 2014-01-21
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Taxonomy Information

Taxonomy Code 207KA0200X
Grouping Allopathic & Osteopathic Physicians
Classification Allergy & Immunology
Specialization Allergy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669416178 Lawrence E. Scheer Allergy & Immunology 714 Chase Pkwy, Suite 2b, Waterbury, CT 06708-3012 2006-06-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447676127 Robert Louis Debernardo Sr. Allergy & Immunology 15 Essex Ln, Trumbull, CT 06611-1005 2014-03-05
1073717351 Northwest Allergy, P.C. Allergy & Immunology 72a Park Lane Rd, New Milford, CT 06776-2325 2007-06-12
1366504227 Connecticut Medical Group, LLC Allergy & Immunology 2989 Dixwell Ave, Hamden, CT 06518-3501 2006-12-15
1467537290 Starling Physicians, PC Allergy & Immunology 2110 Silas Deane Hwy, Rocky Hill, CT 06067-2313 2006-10-27
1881785673 Mitchell Ross Lester Allergy & Immunology 148 E Avenue, Ste 3g, Norwalk, CT 06851 2006-09-27
1871523936 Bruce E Englander Allergy & Immunology 160 Farmington Ave, Bristol, CT 06010-4218 2006-07-04
1578530507 Pamela Laurie Kwittken Allergy & Immunology 40 Commerce Park, Milford, CT 06460-3535 2006-03-08
1316924749 Doron J Ber Allergy & Immunology 23 Clara Dr, Suite 204, Mystic, CT 06355-1959 2005-12-28
1558367698 Romana Primus Allergy & Immunology 1 Shaws Cv, New London, CT 06320-4902 2005-06-23
1285630798 William James Rockwell Allergy & Immunology 4675 Main St, Bridgeport, CT 06606-1813 2005-06-21
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Competitor

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City WATERBURY
Zip Code 06708

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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