Adrienne G Randolph in Boston - Pediatric Critical Care Medicine
Adrienne G Randolph - NPI 1396706859
Adrienne G Randolph is a Pediatric Critical Care Medicine in Boston, Massachusetts. Adrienne G Randolph practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for Adrienne G Randolph is 1396706859. The last update date is 2007-08-13.
Adrienne G Randolph's current location address is 300 Longwood Ave, Boston, Massachusetts. You can contact this provider via phone number 6173557237. The mailing address for Adrienne G Randolph is 300 Longwood Ave, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Adrienne G Randolph |
|---|---|
| Address | 300 Longwood Ave, Boston, Massachusetts |
| Phone Number | 6173557237 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD, MSC |
NPI Number Detail
| NPI Number | 1396706859 |
|---|---|
| Provider Enumeration Date | 2006-03-31 |
| Last Updated Date | 2007-08-13 |
Provider Mailing Address Detail
| Address | 300 Longwood Ave |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21155724 |
| Phone Number | 6173557237 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Critical Care Medicine |
|---|---|
| Taxonomy | 2080P0203X |
| Licence No | 154233 |
|
Definition: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3169022 | MA | -- |
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What is the unique 10-digit identifier code issued to Adrienne G Randolph by the Centers for Medicare & Medicaid Services?
The Adrienne G Randolph has been assigned the NPI (National Provider Identifier) 1396706859 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Adrienne G Randolph's facilities are situated?
The facilities of Adrienne G Randolph are physically located at the following address: 300 Longwood Ave, Boston, MA, 21155724.
What is Adrienne G Randolph's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Adrienne G Randolph is Pediatric Critical Care Medicine, and the taxonomy classification code that categorizes this area of expertise is 2080P0203X.
On what date did the Adrienne G Randolph receive the assignment of its 1396706859 from the Centers for Medicare & Medicaid Services?
The Adrienne G Randolph was issued its 1396706859 by the Centers for Medicare & Medicaid Services on 2006-03-31.
When was the information regarding Adrienne G Randolph most recently updated?
The details pertaining to the Adrienne G Randolph, including its address, specialty, and other relevant information, were last refreshed on 2007-08-13.