Individual
MILTON DRAKE
Active
Individual
MILTON DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39463
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039463
TUFTS
MA
05
—
3192504
—
MA
01
—
J09913
BLUE CROSS
MA
01
—
PV275
HARVARD PILGRIM
MA
Enumeration date
02/09/2006
Last updated
11/16/2020
Update your record
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