Individual
RANDALL PELLISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD, BURLINGTON, MA 01805
(781) 744-8740
(781) 744-5276
Mailing address
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8740
(781) 744-5276
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
234728
MA
207RG0100X
Gastroenterology Physician
LP00382
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2152053
—
MA
Enumeration date
04/19/2007
Last updated
03/28/2019
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