Active NPIOrganization

Randolph D. Maloney, M.d., PC

Physiological Laboratory in Beverly, Massachusetts

NPI Number1124037361
Practice location
75 Herrick St, Suite 110 - Parkhurst Medical Bldg., Beverly, MA 01915-5900
Fax
978-922-5667
Last updated
June 21, 2018

Randolph D. Maloney, M.d., PC is a healthcare organization based in Beverly, MA. Randolph D. Maloney, M.d., PC practices in Beverly, MA. The NPI Number for Randolph D. Maloney, M.d., PC is 1124037361 and holds a License No. RDMS-RVT (MA). The current practice location address for Randolph D. Maloney, M.d., PC is 75 Herrick St, Suite 110 - Parkhurst Medical Bldg., Beverly, MA 01915-5900 and can be reached out via phone at 978-922-5535 and via fax at 978-922-5667.

Provider Profile Details

NPI Number
1124037361
Provider Name
Randolph D. Maloney, M.d., PC
Provider Entity Type
Organization
Address
75 Herrick St, Suite 110 - Parkhurst Medical Bldg., Beverly, MA 01915-5900
Phone Number
978-922-5535
Fax Number
978-922-5667
Primary Taxonomy
Physiological Laboratory · 293D00000X
Organization Subpart
No
Authorized Official
Dr. Randolph David Maloney, MD · Medical Director President · 978-922-5535
Other Names
North Shore Vascular Diagnostic Laboratory (Doing Business As)
Provider Enumeration Date
August 5, 2006
Last Update Date
June 21, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
75 Herrick St
Suite 110 - Parkhurst Medical Bldg.
Beverly, MA 01915-5900
Zip
01915-5900
Phone Number
978-922-5535
Fax Number
978-922-5667
Beverly, MA 01915Get directions →

Provider Business Mailing Address Details

Address
75 Herrick St
Suite 110 - Parkhurst Medical Bldg.
Beverly, MA 01915-5900
City
Beverly
State
MA
Zip
01915-5900
Phone Number
978-922-5535
Fax Number
978-922-5667

License Information

License Number (1)
RDMS-RVT
License State (1)
MA
License Number (2)
35297
License State (2)
MA
Taxonomy (2)
Physiological Laboratory · 293D00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Randolph D. Maloney, M.d., PC?

The NPI number of Randolph D. Maloney, M.d., PC is 1124037361. It was assigned on August 5, 2006 and is currently active in the NPPES registry.

What is the specialty of Randolph D. Maloney, M.d., PC?

Randolph D. Maloney, M.d., PC is registered under the primary taxonomy Physiological Laboratory (code 293D00000X), licensed in MA under license number RDMS-RVT.

Where does Randolph D. Maloney, M.d., PC practice?

The practice location is 75 Herrick St, Suite 110 - Parkhurst Medical Bldg., Beverly, MA 01915-5900. The office can be reached at 978-922-5535 (phone) or 978-922-5667 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124037361 directly on the NPPES registry website.

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