MEDICARE: REBECCA W RANDALL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	80929	MA
2	207V00000X	Obstetrics & Gynecology Physician	MD08106	RI

General Provider Information

NPI Number	:	1912955188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA W RANDALL M.D.

Provider Business Mailing Address
First Line	:	117 ELLENFIELD ST STE 101
Second Line	:
City	:	PROVIDENCE
State	:	RI
Zip	:	02905-4513
Country	:	US
Telephone Number	:	401-444-6779
Fax Number	:	401-444-6912

Provider Business Practice Location Address
First Line	:	148 W RIVER ST STE 8
Second Line	:
City	:	PROVIDENCE
State	:	RI
Zip	:	02904-2615
Country	:	US
Telephone Number	:	401-606-3000
Fax Number	:	401-331-8110

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	11/19/2018

Similar Medicare Providers

1861486664 — DR. MARTIN R PAPAZIAN MD
Practice Location Address:

148 W RIVER ST , SUITE 2A
PROVIDENCE, RI
02904-2615

Practice Phone: 401-728-0140
Practice Fax: 401-727-1979

1942294749 — DR. JOHN M TARRO MD
Practice Location Address:

148 W RIVER ST , SUITE 2A
PROVIDENCE, RI
02904-2615

Practice Phone: 401-728-0140
Practice Fax: 401-727-1979

1720072549 — DR. DOUGLAS F EMERY MD
Practice Location Address:

148 W RIVER ST , SUITE 2A
PROVIDENCE, RI
02904-2615

Practice Phone: 401-728-0140
Practice Fax: 401-727-1979

1598752024 — DR. CHRISTOPHER W LEY MD
Practice Location Address:

148 W RIVER ST , SUITE 22B
PROVIDENCE, RI
02904-2615

Practice Phone: 401-572-3887
Practice Fax: 401-865-6192

1770554131 — ANNE B BERCOVITCH MD
Practice Location Address:

148 W RIVER ST STE 1B
PROVIDENCE, RI
02904-2615

Practice Phone: 401-273-9310
Practice Fax: 401-273-1270

1508895731 — LISA B. SZUMITA PHARM.D., CDE
Practice Location Address:

148 W RIVER ST , SUITE 2A
PROVIDENCE, RI
02904-2615

Practice Phone: 401-770-4846
Practice Fax:

Directions to “ REBECCA W RANDALL M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.