Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENJAMIN RANDALL, ATC
Active Sole ProprietorBENJAMIN RANDALL, ATC is a Specialist/Technologist, Surgical healthcare provider located in ORONO, Maine. NPI 1184089203 is currently active in the NPPES registry. Verify at CMS.
Specialist/Technologist, Surgical · ORONO, ME
Registration Details
- NPI Number
- 1184089203
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 16, 2015 (10.639026177166 yrs)
- Last Updated
- Dec 16, 2015
- License
-
AT509 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5747 MEMORIAL GYM UNIVERSITY OF MAINEORONO, ME, 044690001Browse ME providers · Browse ZIP 04469
- Phone
- 2075811088
- Primary Specialty
-
Specialist/Technologist, Surgical
246Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.