Healthcare Provider Details

I. General information

NPI: 1063419950
Provider Name (Legal Business Name): RICHARD W STRECKER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 10/19/2020
Certification Date: 10/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

169 LINCOLN ST STE 201
HINGHAM MA
02043-4640
US

IV. Provider business mailing address

751 CHIEF JUSTICE CUSHING HWY
COHASSET MA
02025-2115
US

V. Phone/Fax

Practice location:
  • Phone: 781-383-2555
  • Fax: 781-383-6660
Mailing address:
  • Phone: 508-754-3566
  • Fax: 508-438-6368

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number58807
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: