Healthcare Provider Details

I. General information

NPI: 1679675623
Provider Name (Legal Business Name): RICHARD WEXLER D.C.,D.A.B.C.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2006
Last Update Date: 07/08/2007
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

Practice location:
  • Phone: 508-879-8882
  • Fax: 508-875-1144
Mailing address:
  • Phone: 508-879-8882
  • Fax: 508-875-1144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number1028 MA.
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: