Individual
DR. RANDALL DAVID GAZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 PARKMAN ST, WAC 716, BOSTON, MA 02114-3117
(617) 726-3510
(617) 724-3951
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
43501
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6196756
—
MA
01
—
706070
TUFTS HEALTH PLAN
MA
01
—
J04012
BCBS MA
MA
Enumeration date
10/24/2005
Last updated
07/08/2007
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