Provider Demographics
NPI:1225022247
Name:RICHARD W. STRECKER, MD, PC
Entity Type:Organization
Organization Name:RICHARD W. STRECKER, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:W
Authorized Official - Last Name:STRECKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-383-2555
Mailing Address - Street 1:169 LINCOLN ST STE 201
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-4641
Mailing Address - Country:US
Mailing Address - Phone:781-383-2555
Mailing Address - Fax:781-383-6660
Practice Address - Street 1:169 LINCOLN ST STE 201
Practice Address - Street 2:
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-4640
Practice Address - Country:US
Practice Address - Phone:781-383-2555
Practice Address - Fax:781-383-6660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-06
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAM21284Medicare PIN
MAM21285Medicare ID - Type Unspecified
MAM21284Medicare ID - Type Unspecified
MAM21285Medicare PIN