NPI: 1164416228 · RANDOLPH, MA 02368 · Family Medicine Physician · NPI assigned 09/06/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 13 | $257.92 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 13 | 13 | $257.92 |