Individual
THOMAS P DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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