IndividualActive
Randall Waterman, M.D
NPI 1790773505 · Internal Medicine Physician · Haverhill, MA
Provider details
- NPI number
- 1790773505
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- License
- 76509 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
62 Brown Street
Suite 200
Haverhill, MA 01830-6700
Phone: (978) 521-3691
Fax: (978) 521-3689
Street-level locationGet directions
Mailing address
62 Brown Street
Haverhill, MA 01830-6700
Registry dates
- Enumerated
- 2005-10-06
- Last updated
- 2012-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.