Organization
DEANNA P. RICKER, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEANNA P. RICKER M.D. (PRESIDENT/CEO)
(781) 444-5122
Entity
Organization
Contact information
Practice address
105 CHESTNUT ST, SUITE #27, NEEDHAM, MA 02492-2599
(781) 444-5122
(781) 444-4106
Mailing address
105 CHESTNUT ST, SUITE #27, NEEDHAM, MA 02492-2599
(781) 444-5122
(781) 444-4106
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
41103
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2069733
—
MA
Enumeration date
02/15/2011
Last updated
04/26/2024
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