Individual
DR. RANDOLPH H HELMHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
116 NORTHPORT AVE, SUITE 220, BELFAST, ME 04915-6095
(207) 930-6751
(207) 930-6753
Mailing address
116 NORTHPORT AVE, SUITE 220, BELFAST, ME 04915-6095
(207) 930-6751
(207) 930-6753
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
039876
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001398769
—
CT
01
—
010039876CT02
BCBS
CT
01
—
P00227874
MEDICARE RAILROAD
CO
Enumeration date
02/14/2006
Last updated
10/09/2013
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