Individual
RANDY F WERTHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1493 CAMBRIDGE ST, 1320 MACHT BLDG, CAMBRIDGE, MA 02139-1047
(617) 665-1117
Mailing address
1493 CAMBRIDGE ST, 1320 MACHT BLDG, CAMBRIDGE, MA 02139-1047
(617) 665-1117
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43678
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3194728
—
MA
Enumeration date
05/28/2006
Last updated
02/15/2012
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