NPI 1164829255
Riccardo Simon
Practice location
- Address
- 400 N Main St, Randolph, MA 02368-4104
- Phone
- (781) 986-4800
- Fax
- (781) 986-4801
- Mailing address
- 402 N Main St, Randolph, MA 02368-4180
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1164829255
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 4 Dec 2014
- Record last updated
- 4 Dec 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.