Individual
JAMES GORDON DRALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
65 W JIMMIE LEEDS RD, POMONA, NJ 08240-9102
(609) 748-7089
(609) 652-3460
Mailing address
65 W JIMMIE LEEDS RD, POMONA, NJ 08240-9102
(609) 748-7089
(609) 652-3460
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
165052
NY
208600000X
Surgery Physician
25MA07265800
NJ
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
25MA07265800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8787409
—
NJ
Enumeration date
10/21/2005
Last updated
02/17/2021
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