Individual
MARC DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
830 HARRISON AVE STE 1400, BOSTON, MA 02118-2905
(617) 638-8124
(617) 414-4953
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
1021606
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110221442A
—
MA
Enumeration date
03/27/2020
Last updated
06/10/2025
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