Randall Lee Otto (NPI# 1629174784, PAC ID# 3971523283) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1629174784 |
| PAC ID by PECOS | 3971523283 |
| Professional Enrollment ID | I20051201000595 |
| Full Name | Randall Lee Otto |
| Address |
250 Pond St Braintree MA 02184-5351 |
| Phone Number | 7813483904 |
| Gender | M |
| Credential | CP |
| Graduation Year | 1987 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 250 Pond St, Braintree, MA 02184-5351 | 7813483904 |
| Street Address |
250 POND ST |
| City | BRAINTREE |
| State | MA |
| Zip | 02184-5351 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen G Galante | Physician Assistant | Rehabilitation Medical Associates PC | 250 Pond St, Braintree, MA 02184-5351 |
| James F Mcgarry Iii | Internal Medicine | Rehabilitation Medical Associates PC | 250 Pond St, Braintree, MA 02184-5351 |
| Stephen F Koelbel | Physical Medicine and Rehabilitation | South Shore Physiatry and Spasticity Management | 250 Pond St, Braintree, MA 02184-5351 |
| Brigid Caitlin Dwyer | Neurology | Rehabilitation Medical Associates PC | 250 Pond St, Braintree, MA 02184-5351 |
| Michael K Ritchie | Physician Assistant | Rehabilitation Medical Associates PC | 250 Pond St, Braintree, MA 02184-5351 |
| Larah E Bartlett-jacques | Nurse Practitioner | Rehabilitation Medical Associates PC | 250 Pond St, Braintree, MA 02184-5351 |
| John E Scola | Internal Medicine | Rehabilitation Medical Associates PC | 250 Pond St, Braintree, MA 02184-5351 |
| John J Oneil | Nurse Practitioner | Rehabilitation Medical Associates PC | 250 Pond St, Braintree, MA 02184-5351 |
| Nancy M Le | Nurse Practitioner | Boston University Neurology Associates Inc | 250 Pond St, Braintree, MA 02184-5351 |
| Jason C Wu | Physical Medicine and Rehabilitation | Rehabilitation Medical Associates PC | 250 Pond St, Braintree, MA 02184-5351 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martha E Moss | Internal Medicine | South Shore Medical Center, Inc. | 340 Wood Rd, Braintree, MA 02184-2401 |
| Leyda D Delgado | Internal Medicine | South Shore Medical Center, Inc. | 340 Wood Rd, Braintree, MA 02184-2401 |
| Madhvendra Singh | Internal Medicine | Blue Hills Medical Associates | 340 Wood Rd, Braintree, MA 02184-2401 |
| Brandy A Petersen | Nurse Practitioner | South Shore Medical Center, Inc. | 340 Wood Rd, Braintree, MA 02184-2401 |
| San Wan | Dermatology | 340 Wood Rd, Braintree, MA 02184-2401 | |
| Louis A Maggio | Internal Medicine | Blue Hills Medical Associates | 340 Wood Rd, Braintree, MA 02184-2401 |
| Mary Scott | Family Medicine | Healthcare South PC | 340 Wood Rd, Suite 101, Braintree, MA 02184-2404 |
| Timothy S Lanham Sr. | Clinical Social Worker | Blue Hills Counseling and Psychiatric Associates PC | 340 Wood Rd, Suite 306, Braintree, MA 02184-2404 |
| Christine M Cormier | Physical Therapy | Pinnacle Rehabilitation Network LLC | 340 Wood Rd, 303 Blue Hills Sports, Braintree, MA 02184-2404 |
| Sheryl T Shapiro | Psychologist, Clinical | Blue Hills Counseling and Psychiatric Associates PC | 340 Wood Rd, Suite 306, Braintree, MA 02184-2404 |
| Find all physicians in zip 02184 | |||
| City | BRAINTREE |
| Zip Code | 02184 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | BRAINTREE + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Randall Lee Otto.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.