Individual
RICHARD HACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
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
213E00000X
Podiatrist
Primary
1740
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0362387
—
MA
01
—
33040
HARVARD PILGRIM
—
01
—
33396
HARVARD PILGRIM
—
01
—
709822
TUFTS
—
Enumeration date
08/01/2006
Last updated
11/10/2011
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