Individual
THOMAS P DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 COOPER PLZ, SUITE 200, CAMDEN, NJ 08103-1438
(856) 342-2001
(856) 968-8297
Mailing address
1 FEDERAL ST, STE SW200, CAMDEN, NJ 08103-1155
(856) 963-6888
(856) 963-6888
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA08907500
NJ
208000000X
Pediatrics Physician
MD420498
PA
208100000X
Physical Medicine & Rehabilitation Physician
MD420498
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006947
—
NJ
05
—
001967371
—
PA
01
—
STATE LICENSE
MA08907500
NJ
Enumeration date
07/27/2006
Last updated
01/12/2017
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