Wertheimer, Randy F
Wertheimer, Randy F is an individual health care provider with primary practice located at 1493 Cambridge St 1320 Macht Bldg, Cambridge MA 02139-1047. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wertheimer, Randy F can be contacted via phone (617) 665-1117.Contact Information
Primary practice address
1493 Cambridge St 1320 Macht Bldg
Cambridge MA 02139-1047
Phone: (617) 665-1117
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 43678 | Massachusetts |
Profile Details
| NPI number | 1013964691 |
|---|---|
| LBN Legal business name | Wertheimer, Randy F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2006 |
| Last updated | Feb 15th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013964691 | NPPES |
| Massachusetts | MEDICAID | 3194728 |
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