Individual
RANDY SCOTT PENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPD
Contact information
Practice address
543 NORTH STREET, SUITE 201, NEW BENFORD, MA 02740
(508) 993-3450
(508) 993-3455
Mailing address
543 NORTH STREET, SUITE 201, NEW BENFORD, MA 02740
(508) 993-3450
(508) 993-3455
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
224P00000X
Prosthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528866
—
MA
01
—
401154
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/16/2006
Last updated
09/11/2025
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