Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | MA061542 | NJ |
NPI | 1568496453 |
---|---|
Provider Name | Dr. Michael R Drews |
First Address | Basking Ridge, NJ 07920-2976 |
Second Address | Basking Ridge, NJ 07920-2976 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 11/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E97325 | (02) | NJ |