J Randolph Bak, MD in Newton, MA - Pediatrics

J Randolph Bak, MD is a Pediatrics physician based in Newton, Massachusetts. J Randolph Bak is licensed to practice in Massachusetts (license number 230693) and his current practice location is 2000 Washington St, Newton, Massachusetts. He can be reached at his office (for appointments etc.) via phone at (617) 243-6325.

NPI number for J Randolph Bak is 1346312089 and his current mailing address is 2000 Washington St, Newton, Massachusetts. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346312089.

Contact Information

	J Randolph Bak, MD
	2000 Washington St, Newton, MA 02462-1650
	(617) 243-6325
	Not Available

Physician's Profile

Full Name	J Randolph Bak
Gender	Male
Speciality	Pediatrics
Location	2000 Washington St, Newton, Massachusetts
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1346312089
Provider Enumeration Date: 11/15/2006
Last Update Date: 12/01/2010

Medical Identifiers

Medical identifiers for J Randolph Bak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346312089	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD00027729 (Washington)	Secondary
208000000X	Pediatrics	230693 (Massachusetts)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. J Randolph Bak is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
J Randolph Bak, MD 2000 Washington St, Newton, MA 02462-1650 Ph: (617) 417-7234	J Randolph Bak, MD 2000 Washington St, Newton, MA 02462-1650 Ph: (617) 243-6325

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Pediatrics Doctors in Newton, MA

Dr. Ronald Kenneth Pye, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2014 Washington St, Scn 6 North, Newton, MA 02462 Phone: 617-243-6296
Dr. Brinda Trivedi Gupta, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2000 Washington St, Suite 466, Newton, MA 02462 Phone: 617-969-8989 Fax: 617-928-0178
Susan Deborah Reuter, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2000 Washington St.reet, Suite 466, Newton, MA 02462 Phone: 617-969-8989 Fax: 617-928-0178
Richard E Wilker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2014 Washington St, Newton-wellesley Hospital, Newton, MA 02462 Phone: 617-243-6731 Fax: 617-243-6981
Clara Sanders, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 21 John St, #1, Newton, MA 02459 Phone: 978-516-8876
Tetiana M Pronchick, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2000 Washington St, Suite 466, Newton, MA 02462 Phone: 617-969-8989 Fax: 617-928-0178
Jane Marie Porter, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 34 Heatherland Rd, Newton, MA 02461 Phone: 617-244-6040

J Randolph Bak, MD - Pediatrics in Newton, MA