Organization
RICHARD HACKER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANNE KING (OFFICE MANAGER)
(508) 947-5355
Entity
Organization
Contact information
Practice address
154 W GROVE ST, MIDDLEBORO, MA 02346-1484
(508) 947-5355
(508) 256-8586
Mailing address
154 W GROVE ST, MIDDLEBORO, MA 02346-1484
(508) 947-5355
(508) 256-8586
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1740
MA
Other
Enumeration date
11/29/2007
Last updated
11/10/2011
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