Gaz, Randall David

Gaz, Randall David is an individual health care provider with primary practice located at 15 Parkman St Wac 716, Boston MA 02114-3117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gaz, Randall David can be contacted via phone (617) 726-3510.

Contact Information

Primary practice address
15 Parkman St Wac 716 Boston MA 02114-3117
Phone: (617) 726-3510
Fax: (617) 724-3951
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 43501 Massachusetts

Profile Details

NPI number 1801886718
LBN Legal business name Gaz, Randall David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Jul 13th, 2026 - about 4 months 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 1801886718 NPPES
Massachusetts MEDICAID 6196756
Massachusetts Other 706070
Massachusetts Other J04012

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