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Individual

PROF. GEORGE W DRACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 662-7331
(215) 662-3955
Mailing address
314 S 3RD ST, PHILADELPHIA, PA 19106-4224
(215) 662-7331
(215) 662-3955

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD065708L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01696090
AZ
Enumeration date
08/18/2006
Last updated
07/08/2007
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