# MICHAEL C. RANDON, MD

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194916627
- **Authorized official:** DR. MICHAEL C. RANDON MD (SOLE PROPRIETOR)
- **Authorized official phone:** (508) 238-6909

## Contact information

- **Practice address:** 23 ISAAC ST, MIDDLEBORO, MA 02346-2080
- **Practice address phone:** (508) 947-9295
- **Practice address fax:** (508) 947-7974
- **Mailing address:** 46 CLARA HOWARD WAY, NORTH EASTON, MA 02356-1026
- **Mailing address phone:** (508) 238-6909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/08/2007
- **Last updated:** 09/10/2007