Drachman, Douglas E
Drachman, Douglas E is an individual health care provider with primary practice located at 55 Fruit St Grb 800, Boston MA 02114-2696. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Drachman, Douglas E can be contacted via phone (617) 724-8052.Contact Information
Primary practice address
55 Fruit St Grb 800
Boston MA 02114-2696
Phone: (617) 724-8052
Fax: (617) 724-0697
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 153889 | Massachusetts |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 153889 | Massachusetts |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 153889 | Massachusetts |
Profile Details
| NPI number | 1245211176 |
|---|---|
| LBN Legal business name | Drachman, Douglas E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245211176 | NPPES |
| Massachusetts | MEDICAID | 0106232 | |
| Massachusetts | Other | J22770 | |
| Massachusetts | Other | 153889 |
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