Individual
RANDOLPH SIMMONS THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-4618
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-4618
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
048395
CT
207R00000X
Internal Medicine Physician
Primary
MD19335
ME
208000000X
Pediatrics Physician
048395
CT
208M00000X
Hospitalist Physician
048395
CT
Other
Enumeration date
05/29/2008
Last updated
11/16/2012
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