Individual
JULIA RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19 TACOMA ST, WORCESTER, MA 01605-3516
(508) 852-1805
Mailing address
19 TACOMA ST, WORCESTER, MA 01605-3516
(508) 852-1805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
244695
MA
Other
Enumeration date
07/07/2010
Last updated
02/17/2014
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