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Contact Information

RANDOLPH D. MALONEY, M.D., PC
75 HERRICK ST
SUITE 110 - PARKHURST MEDICAL BLDG.
BEVERLY, MA01915-5900
 Phone: 978-922-5535
 Fax: 978-922-5667
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
 

Vascular Sonography Radiologic Technologist

2471V0105X
Indicates primary specialty

NPI Profile & details for RANDOLPH D. MALONEY, M.D., PC

NPI # 1124037361
LBN Legal business name RANDOLPH D. MALONEY, M.D., PC
Authorized official RANDOLPH MALONEY - (MEDICAL DIRECTOR PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/05/2006
Last updated 06/21/2018 - About 8 years ago
Identifiers
MA License # 35297
MA License # RDMS-RVT
MA Medicaid 9769706
MA Other 021569 BLUECROSS/BLUESHIELD
MA Other 33434 FALLON HEALTH
MA Other 606913 HARVARD PILGRAM
MA Other 950000914 RAILROAD MEDICARE
MA Other 801461 TUFTS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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