Gacek, Richard R

Gacek, Richard R is an individual health care provider with primary practice located at 55 Lake Ave N Department Of Otolaryngology, Worcester MA 01655-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Gacek, Richard R can be contacted via phone (508) 856-4161.

Contact Information

Primary practice address
55 Lake Ave N Department Of Otolaryngology Worcester MA 01655-0002
Fax: (508) 856-6703
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 28053 Massachusetts

Profile Details

NPI number 1639151756
LBN Legal business name Gacek, Richard R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Nov 4th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639151756 NPPES
Massachusetts MEDICAID 110002533A

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