Individual
MATTHEW D RECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
93 CAMPUS AVE, LEWISTON, ME 04240
(207) 777-4100
(207) 777-8591
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7800
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD20757
ME
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD20757
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164682324
—
ME
Enumeration date
06/11/2008
Last updated
08/29/2019
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