Individual
DR. RANDOLPH L. SCHAFFER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-2023
(508) 856-1102
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
1021013
MA
204F00000X
Transplant Surgery Physician
A84990
CA
208600000X
Surgery Physician
A84990
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A849900
—
CA
Enumeration date
02/03/2006
Last updated
09/04/2024
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