Provider Demographics
NPI:1528155355
Name:RECZYCKI, MARGUERITA A (RN, PC)
Entity type:Individual
Prefix:MS
First Name:MARGUERITA
Middle Name:A
Last Name:RECZYCKI
Suffix:
Gender:F
Credentials:RN, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 EVANS ROAD
Mailing Address - Street 2:
Mailing Address - City:MARBLEHEAD
Mailing Address - State:MA
Mailing Address - Zip Code:01945-2461
Mailing Address - Country:US
Mailing Address - Phone:781-631-1498
Mailing Address - Fax:
Practice Address - Street 1:64 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-4131
Practice Address - Country:US
Practice Address - Phone:978-745-5505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2008-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA115006163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult