Individual
DR. RANDALL CLARK FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
29 STILES RD, SUITE 301, SALEM, NH 03079-5802
(603) 870-5452
(603) 870-5449
Mailing address
29 STILES RD, SUITE 301, SALEM, NH 03079-5802
(603) 870-5452
(603) 870-5449
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9962
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100419YPNH01
ANTHEM BCBS NEW HAMPSHIRE
—
01
—
2637002
AETNA
—
01
—
407866
UNIFORMED SERVICES FAMILY
—
01
—
66951
CIGNA
—
01
—
71838
HARVARD PILGRIM HEALTHCAR
—
01
—
753299
TUFTS HEALTHPLAN
—
01
—
J17896
BCBS OF MASSACHUSETTS
—
Enumeration date
07/15/2005
Last updated
02/08/2016
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