Black-Schaffer, Randie M

Black-Schaffer, Randie M is an individual health care provider with primary practice located at 125 Nashua St Srh, Boston MA 02114-1101. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Black-Schaffer, Randie M can be contacted via phone (617) 573-2770.

Contact Information

Primary practice address
125 Nashua St Srh Boston MA 02114-1101
Phone: (617) 573-2770
Fax: (617) 573-2769
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 44943 Massachusetts

Profile Details

NPI number 1225010515
LBN Legal business name Black-Schaffer, Randie M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225010515 NPPES
Massachusetts MEDICAID 2098369
Massachusetts Other B53105
Massachusetts Other 044943

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