Individual
PETER B. RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 WASHINGTON ST, NEMC BOX #1007, BOSTON, MA 02111-1552
(617) 636-5000
Mailing address
800 WASHINGTON ST, NEMC BOX #1007, BOSTON, MA 02111-1552
(617) 636-5000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
28628
MA
Other
Enumeration date
10/23/2006
Last updated
08/12/2010
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