Pellish, Randall

Pellish, Randall is an individual health care provider with primary practice located at Lahey Hospital And Medical Center 41 Mall Road, Burlington MA 01805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Pellish, Randall can be contacted via phone (781) 744-8740.

Contact Information

Primary practice address
Lahey Hospital And Medical Center 41 Mall Road Burlington MA 01805
Phone: (781) 744-8740
Fax: (781) 744-5276
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X LP00382 Rhode Island
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 234728 Massachusetts

Profile Details

NPI number 1962629105
LBN Legal business name Pellish, Randall
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Mar 28th, 2019 - about 6 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 1962629105 NPPES
Massachusetts MEDICAID 2152053

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