Individual provider · NPI-1

Brian P. Randall, M.D.

Family Medicine · Methuen, MA

NPI number1437340940
StatusActive
Last updated in NPPESDec 17, 2021

Details

NPI
1437340940
Entity type
Individual (NPI-1)
Name
Brian P. Randall
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Aug 8, 2007
Last updated
Dec 17, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine239600MAYes

Practice location

70 East St
Methuen, MA 01844-4597

Phone 978-683-3491 · Fax 978-683-3472

Mailing address

70 East St
Methuen, MA 01844-4597

Phone 978-683-3491 · Fax 978-683-3472

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