MEDICARE: DR. RICHARD EVAN CAESAR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	59487	MA
2	208800000X	Urology Physician	01083147A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1900003	OTHER		UNITED HEALTH
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	J09222	OTHER	MA	BC/MA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538251715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD EVAN CAESAR MD

Provider Business Mailing Address
First Line	:	3 BEVERLY RD
Second Line	:
City	:	SWAMPSCOTT
State	:	MA
Zip	:	01907-2622
Country	:	US
Telephone Number	:	207-949-7081
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 ROWE ST STE 200
Second Line	:
City	:	MELROSE
State	:	MA
Zip	:	02176-3231
Country	:	US
Telephone Number	:	781-620-4944
Fax Number	:	781-979-3433

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	11/16/2023

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Directions to “ DR. RICHARD EVAN CAESAR MD” Practice Location

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