Individual
JACOB R. DRUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 CLEARFIELD AVE, VA BEACH, VA 23462-1815
(757) 452-3480
(757) 452-3482
Mailing address
225 CLEARFIELD AVE, VIRGINIA BEACH, VA 23462-1815
(757) 452-3480
(757) 452-3482
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101024560
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007501668
—
VA
01
—
146541
ANTHEM BC/BS
—
01
—
15315
SENTARA HEALTHCARE
VA
01
—
227938
ANTHEM BC BS
VA
Enumeration date
01/06/2006
Last updated
11/27/2013
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