Bak, J Randolph
Bak, J Randolph is an individual health care provider with primary practice located at 2000 Washington St , Newton MA 02462-1650. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bak, J Randolph can be contacted via phone (617) 243-6325.Contact Information
Primary practice address
2000 Washington St
Newton MA 02462-1650
Phone: (617) 243-6325
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD00027729 | Washington |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 230693 | Massachusetts |
Profile Details
| NPI number | 1346312089 |
|---|---|
| LBN Legal business name | Bak, J Randolph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Dec 1st, 2010 - about 16 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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