Healthcare Provider Details
I. General information
NPI: 1225022247
Provider Name (Legal Business Name): RICHARD W. STRECKER, MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/06/2005
Last Update Date: 03/07/2024
Certification Date: 03/07/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
169 LINCOLN ST STE 201
HINGHAM MA
02043-4640
US
IV. Provider business mailing address
169 LINCOLN ST STE 201
HINGHAM MA
02043-4641
US
V. Phone/Fax
- Phone: 781-383-2555
- Fax: 781-383-6660
- Phone: 781-383-2555
- Fax: 781-383-6660
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | |
| License Number State | MA |
VIII. Authorized Official
Name: DR.
RICHARD
W.
STRECKER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 781-383-2555