Individual
MILTON DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
228 BILLERICA RD, INTERNAL MEDICINE, CHELMSFORD, MA 01824-3604
(978) 250-6100
(978) 250-6470
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
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
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