Search › Massachusetts › 207RG0300X
Glenn Randall, MD
NPI 1033170972 · on the registry since 2006
Practice
- Address
- 277 East Mountain St
Summit Eldercare
Worcester, MA 01606 - Phone
- (508) 852-2026
- Fax
- (508) 856-7130
- Organisation at this address
- Fallon Community Health Plan
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 112
Registry record
- Primary taxonomy
- 207RG0300X
207RG0300X
- Also registered as
- 207R00000X
207RH0002X - Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-01-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts