RANDALL SURGICAL GROUP INC NPI 1770620023

NPI Information

  • NPI: 1770620023
  • Provider Name: RANDALL SURGICAL GROUP, INC
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • Address: 1 RANDALL SQ
    SUITE 406
    PROVIDENCE, RI
    ZIP 02904
  • Phone: (401) 421-2928

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NPI Details

RANDALL SURGICAL GROUP, INC is a surgery in Providence, RI. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. RANDALL SURGICAL GROUP, INC NPI is 1770620023. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 RANDALL SQ
SUITE 406
PROVIDENCE, RI
ZIP 02904-709
Phone: (401) 421-2928
Fax: (401) 454-5989

The provider's authorized official is David Robert Cloutier .
The authorized official title is Vice President and has the following contact phone number (401) 421-2928.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryYes

What is NPI?

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This page was last updated on: 3/30/2025

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