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Individual

TIMOTHY S DRAPER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1 ESSEX CENTER DR., LAHEY NORTHSHORE, PEABODY, MA 01960-2901
(978) 538-4200
(978) 538-4705
Mailing address
41 MALL RD., LAHEY CLINIC, BURLINGTON, MA 01805-0001
(978) 538-4200
(978) 538-4705

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
243448
MA
207RC0000X
Cardiovascular Disease Physician
Primary
243448
MA
207UN0901X
Nuclear Cardiology Physician
243448
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110088529A
MA
Enumeration date
06/10/2008
Last updated
09/13/2019
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