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Organization
MICHAEL C. RANDON, MD
Active
Organization
MICHAEL C. RANDON, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL C. RANDON MD (SOLE PROPRIETOR)
(508) 238-6909
Entity
Organization
Contact information
Practice address
23 ISAAC ST, MIDDLEBORO, MA 02346-2080
(508) 947-9295
(508) 947-7974
Mailing address
46 CLARA HOWARD WAY, NORTH EASTON, MA 02356-1026
(508) 238-6909
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
NULL
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
08/08/2007
Last updated
09/10/2007
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