Individual
GLENN DRANOFF
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44 BINNEY ST, BOSTON, MA 02115
(617) 632-5051
(617) 632-5167
Mailing address
44 BINNEY ST, DANA 520C, BOSTON, MA 02115
(617) 632-5051
(617) 632-5167
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
59429
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2127555
AETNA US HEALTHCARE
—
01
—
3040018
UNITED HEALTH CARE
—
05
—
3060870
—
MA
01
—
3115590
CIGNA
—
01
—
65532
FALLON COMM HEALTH PLAN
—
01
—
724813
TUFTS
—
01
—
J09707
BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/14/2006
Last updated
07/09/2007
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