| Randolph Medical Associates, Pc | |
|
32 So Main St Suite 200 Randolph MA 02368 | |
| (781) 986-1368 | |
| (781) 986-1749 |
| Full Name | Randolph Medical Associates, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 32 So Main St, Randolph, Massachusetts |
| Authorized Official Name and Position | Maria Ana Rodrigues (OWNER) |
| Authorized Official Contact | 7819861368 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Randolph Medical Associates, Pc 32 So Main St Ste 200 Randolph MA 02368 Ph: (781) 986-1368 | Randolph Medical Associates, Pc 32 So Main St Suite 200 Randolph MA 02368 Ph: (781) 986-1368 |
| NPI Number | 1790984268 |
|---|---|
| Provider Enumeration Date | 07/16/2007 |
| Last Update Date | 03/07/2016 |
| Medicare PECOS PAC ID | 6406890797 |
|---|---|
| Medicare Enrollment ID | O20050617000036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790984268 | NPI | - | NPPES |
| 9724940 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 76450 (Massachusetts) | Primary |
| Provider Name | Maria A Rodrigues |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750350708 PECOS PAC ID: 4082656467 Enrollment ID: I20050525001005 |
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