Provider Demographics
NPI:1639254949
Name:RAND, BLISS INUI
Entity Type:Individual
Prefix:DR
First Name:BLISS
Middle Name:INUI
Last Name:RAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BLISS
Other - Middle Name:
Other - Last Name:RAND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:35 FALMOUTH ST
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-3616
Mailing Address - Country:US
Mailing Address - Phone:617-489-6768
Mailing Address - Fax:
Practice Address - Street 1:9 ALEXANDER AVE
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:MA
Practice Address - Zip Code:02478-4802
Practice Address - Country:US
Practice Address - Phone:617-417-5399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA776452084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry