Healthcare Provider Details
I. General information
NPI: 1477730349
Provider Name (Legal Business Name): RICHARD J. WEXLER D.C.,P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/23/2008
Last Update Date: 01/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
650 WORCESTER RD
FRAMINGHAM MA
01702-5248
US
IV. Provider business mailing address
650 WORCESTER RD
FRAMINGHAM MA
01702-5248
US
V. Phone/Fax
- Phone: 508-879-8882
- Fax: 508-875-1144
- Phone: 508-879-8882
- Fax: 508-875-1144
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NX0800X |
| Taxonomy | Orthopedic Chiropractor |
| License Number | 1028 |
| License Number State | MA |
VIII. Authorized Official
Name: DR.
RICHARD
J
WEXLER
Title or Position: CHIROPRACTOR
Credential: D.C. , F.A.C.O.
Phone: 508-879-8882