Organization
RANDALL SURGICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ROBERT CLOUTIER MD (VICE PRESIDENT)
(401) 421-2928
Entity
Organization
Contact information
Practice address
1 RANDALL SQ, SUITE 406, PROVIDENCE, RI 02904-2709
(401) 421-2928
(401) 454-5989
Mailing address
1 RANDALL SQ, SUITE 406, PROVIDENCE, RI 02904-2709
(401) 421-2928
(401) 454-5989
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
08/22/2020
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