Individual
DANIEL CARL RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 ESSEX CENTER DR, PEABODY, MA 01960-2902
(978) 977-4210
(978) 977-4226
Mailing address
2 ESSEX CENTER DR, PEABODY, MA 01960-2902
(978) 977-4210
(978) 977-4226
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
238125
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001756930
—
PA
Enumeration date
08/08/2006
Last updated
03/07/2021
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