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Contact Information

GLENN R RANDALL, MD
277 EAST MOUNTAIN ST
SUMMIT ELDERCARE
WORCESTER, MA01606
 Phone: 508-852-2026
 Fax: 508-856-7130
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GLENN R RANDALL · (Male)

NPI # 1033170972
Status Active
Credentials MD
Entity Individual
Enumeration date 03/30/2006
Last updated 01/17/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 80026
  • MA Medicaid 3131335
  • Other 7001328 AETNA US HEALTHCARE
  • Other J14922 BLUE CARE ELECT
  • Other J14922 BLUE SHIELD HMO BLUE
  • Other J14922 BLUE SHIELD INDEMNITY
  • Other 27190 CHILDRENS MED SEC PLAN
  • Other 6633909 CIGNA HEALTH PLAN
  • Other 0400961 EVERCARE
  • Other 991122 FALLON COMMUNITY HEALTH P
  • Other 1061182 FIRST HEALTH
  • Other AA2364 HARVARD PILGRIM HEALTHCAR
  • Other 042472266 HEALTHCARE VALUE MGMT
  • Other 27190 HEALTHY START
  • Other J14922 MEDICARE B
  • Other 784073 MVP HEALTH CARE
  • Other 042472266 ONE HEALTH PLAN
  • Other 042472266 PRIVATE HEALTHCARE SYSTEM
  • Other 110175052 RAILROAD MEDICARE
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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