Provider Demographics
NPI:1679675623
Name:WEXLER, RICHARD (DC,DABCO)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:
Last Name:WEXLER
Suffix:
Gender:M
Credentials:DC,DABCO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 WORCESTER RD
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-5248
Mailing Address - Country:US
Mailing Address - Phone:508-879-8882
Mailing Address - Fax:508-875-1144
Practice Address - Street 1:650 WORCESTER RD
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-5248
Practice Address - Country:US
Practice Address - Phone:508-879-8882
Practice Address - Fax:508-875-1144
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1028 MA.111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY35751Medicare ID - Type Unspecified