Individual
RANDOLPH S. POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 BROOKSBY VILLAGE DR, PEABODY, MA 01960-1438
(978) 536-7850
(877) 280-9727
Mailing address
100 BROOKSBY VILLAGE DR, PEABODY, MA 01960-1438
(978) 536-7850
(877) 280-9727
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
80799
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016036
NEIGHBORHOOD HEALTH PLAN
—
01
—
0132658
EVERCARE
MA
01
—
07-02617
EVERCARE
—
01
—
080799
TUFTS HEALTH PLAN
MA
01
—
1440628
CIGNA
—
01
—
1962407536
BCBS
—
01
—
30205089
NEW HAMPSHIRE MEDICAID
NH
05
—
3139298
—
MA
01
—
968005
NETWORK HEALTH
—
01
—
AA32263
HARVARD PILGRIM HEALTHCAR
MA
01
—
B07616
ANTHEM BLUE CROSS
NH
01
—
J31185
BLUE CROSS BLUE SHIELD
MA
01
—
P00228069
RAILROAD MEDICARE
—
01
—
P00602018
RAILROAD MEDICARE
—
Enumeration date
06/20/2005
Last updated
05/24/2011
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