MEDICARE: RICHARD W STRECKER M.D.

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	207W00000X	Ophthalmology Physician	58807	MA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A33195	OTHER	MA	MEDICARE LOCALE 99

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063419950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD W STRECKER M.D.

Provider Business Mailing Address
First Line	:	751 CHIEF JUSTICE CUSHING HWY
Second Line	:
City	:	COHASSET
State	:	MA
Zip	:	02025-2115
Country	:	US
Telephone Number	:	508-754-3566
Fax Number	:	508-438-6368

Provider Business Practice Location Address
First Line	:	169 LINCOLN ST STE 201
Second Line	:
City	:	HINGHAM
State	:	MA
Zip	:	02043-4640
Country	:	US
Telephone Number	:	781-383-2555
Fax Number	:	781-383-6660

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	10/19/2020

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Directions to “ RICHARD W STRECKER M.D.” Practice Location

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