Active NPIIndividual provider

Dr. Randall L Waterman, MD

Internal Medicine in Haverhill, Massachusetts

NPI Number1790773505
Practice location
62 Brown Street, Suite 200, Haverhill, MA 01830-6700
Fax
978-521-3689
Last updated
January 5, 2012

Randall L Waterman is an Internal Medicine based in Haverhill, MA. Randall L Waterman practices in Haverhill, MA and has the professional credentials of MD. The NPI Number for Randall L Waterman is 1790773505 and holds a License No. 76509 (MA). The current practice location address for Randall L Waterman is 62 Brown Street, Suite 200, Haverhill, MA 01830-6700 and can be reached out via phone at 978-521-3691 and via fax at 978-521-3689.

Provider Profile Details

NPI Number
1790773505
Provider Name
Randall L Waterman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
62 Brown Street, Suite 200, Haverhill, MA 01830-6700
Phone Number
978-521-3691
Fax Number
978-521-3689
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
October 6, 2005
Last Update Date
January 5, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
62 Brown Street
Suite 200
Haverhill, MA 01830-6700
Zip
01830-6700
Phone Number
978-521-3691
Fax Number
978-521-3689
Haverhill, MA 01830Get directions →

Provider Business Mailing Address Details

Address
62 Brown Street
Suite 200
Haverhill, MA 01830-6700
City
Haverhill
State
MA
Zip
01830-6700
Phone Number
978-521-3691
Fax Number
978-521-3689

License Information

License Number
76509
License State
MA
Taxonomy
Internal Medicine · 207R00000X · 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 Dr. Randall L Waterman, MD?

The NPI number of Dr. Randall L Waterman, MD is 1790773505. It was assigned on October 6, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Randall L Waterman, MD?

Dr. Randall L Waterman, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 76509.

Where does Dr. Randall L Waterman, MD practice?

The practice location is 62 Brown Street, Suite 200, Haverhill, MA 01830-6700. The office can be reached at 978-521-3691 (phone) or 978-521-3689 (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 1790773505 directly on the NPPES registry website.

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