Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Randall Surgical Group, Inc

Organization Surgery Physician · NPI 1770620023

Randall Surgical Group, Inc is a Surgery Physician in Providence, Rhode Island. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1 Randall Sq Ste 406
Providence, RI 02904-2709
Phone: (401) 421-2928
Fax: (401) 454-5989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1770620023
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Cloutier — Vice President · (401) 421-2928
NPI enumeratedJanuary 30, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1 Randall Sq, Suite 406, Providence, RI 02904-2709

Other providers in Providence