Provider Demographics
NPI:1639375264
Name:MARTIN RICHLER, M.D.
Entity Type:Organization
Organization Name:MARTIN RICHLER, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-891-1447
Mailing Address - Street 1:20 HOPE AVE
Mailing Address - Street 2:SUITE212
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02453-2721
Mailing Address - Country:US
Mailing Address - Phone:781-891-1447
Mailing Address - Fax:781-891-7936
Practice Address - Street 1:20 HOPE AVE
Practice Address - Street 2:SUITE212
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02453-2721
Practice Address - Country:US
Practice Address - Phone:781-891-1447
Practice Address - Fax:781-891-7936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA071402207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAM17767OtherBCBS OF MA