Zusman, Randall Mark
Zusman, Randall Mark is an individual health care provider with primary practice located at 15 Parkman St Yaw 5, Boston MA 02114-3117. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Zusman, Randall Mark can be contacted via phone (617) 726-7790.Contact Information
Primary practice address
15 Parkman St Yaw 5
Boston MA 02114-3117
Phone: (617) 726-7790
Fax: (617) 726-7766
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 37456 | Massachusetts |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 37456 | Massachusetts |
Profile Details
| NPI number | 1083605646 |
|---|---|
| LBN Legal business name | Zusman, Randall Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083605646 | NPPES |
| Massachusetts | Other | M09867 | BCBS MA |
| Massachusetts | MEDICAID | 2088142 | BCBS MA |
| Massachusetts | Other | 709613 | BCBS MA |
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