Individual provider · Type 1 NPI

Randy Widtfeldt, PA

Surgical Physician Assistant · Stoneham, MA

NPI number 1487089504 Active

Practice location

92 Montvale Ave
Stoneham, MA 02180-3647

Call (781) 279-7040 Map

Other practice locations

  • 44 Bearfoot Rd Ste 3125, Northborough, MA 01532-1559 · (781) 279-7040
  • 405 Pearl St, Malden, MA 02148-6644 · (781) 665-9500
  • 362 Belmont St, Brockton, MA 02301-4950 · (781) 279-7040

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA4822 (MA)

Surgical Physician Assistant: Definition to come...

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About NPI 1487089504

Randy Widtfeldt, PA's National Provider Identifier is 1487089504, issued on Sep 9, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Stoneham, MA. The record was last updated on Jul 6, 2026.