Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 042997 | CT |
NPI | 1104834704 |
---|---|
Provider Name | Beverly J Drucker |
First Address | Greenwich, CT 06830-5426 |
Second Address | Greenwich, CT 06830-5426 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G53514 | (02) |