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Contact Information

RANDOLPH S POWERS, MD
100 BROOKSBY VILLAGE DR
PEABODY, MA01960-1438
 Phone: 978-536-7850
 Fax: 877-280-9727
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for RANDOLPH S POWERS · (Male)

NPI Number 1962407536
Status Active
Credentials MD
Entity Individual
Enumeration date 06/20/2005
Last updated 05/24/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 80799
  • MA Medicaid 3139298
  • Other 1962407536 BCBS
  • Other 1440628 CIGNA
  • Other 07-02617 EVERCARE
  • Other 1440628 HEALTHSOURCE
  • Other 0016036 NEIGHBORHOOD HEALTH PLAN
  • Other 968005 NETWORK HEALTH
  • Other P00228069 RAILROAD MEDICARE
  • Other P00602018 RAILROAD MEDICARE
  • MA Other J31185 BLUE CROSS BLUE SHIELD
  • MA Other 0132658 EVERCARE
  • MA Other AA32263 HARVARD PILGRIM HEALTHCAR
  • MA Other 080799 TUFTS HEALTH PLAN
  • NH Other B07616 ANTHEM BLUE CROSS
  • NH Other 30205089 NEW HAMPSHIRE MEDICAID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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