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NPI Code Detail

MEDICARE: DR. MARK NOAH STRECKER M.D.

MEDICARE: DR. MARK NOAH 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
12084P0800XPsychiatry Physician56908MA
22084P0804XChild & Adolescent Psychiatry Physician56908MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730154253
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK NOAH STRECKER M.D.
Provider Business Mailing Address
First Line : 152 WOBURN ST
Second Line :
City : LEXINGTON
State : MA
Zip : 02420-2248
Country : US
Telephone Number : 781-860-9877
Fax Number :
Provider Business Practice Location Address
First Line : 64 ELDREDGE ST
Second Line :
City : NEWTON
State : MA
Zip : 02458-2017
Country : US
Telephone Number : 617-969-4925
Fax Number : 617-244-2507
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2006
Last Update Date : 09/11/2025

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Directions to “ DR. MARK NOAH STRECKER M.D.” Practice Location

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