| Doctor Name: | MRS. MARY RANDOLPH |
| NPI Number: | 1720246937 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN-C |
| License Number: | 26NJ00090200 |
| Business Practice Address: | 3826 Bayshore Rd N Cape May, NJ - 082043208 |
| Business Phone Number: | 6098863636 |
| Business Fax Number: | |
| Mailing Address: | 3826 Bayshore Rd, N CAPE MAY |
| State: | NJ |
| Postal Code: | 082043208 |
| Phone Number: | 6098863636 |
| Fax Number: | |
| NPI Enumeration Date: | 05/26/2008 |
| NPI Last Update Date: | 05/26/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 26NJ00090200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |