Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NX0100X | Occupational Health | C0000472 | MD |
Y | 207Q00000X | Family Doctor | MA002389L | PA |
NPI | 1396805081 |
---|---|
Provider Name | Mr. David M Druskin |
First Address | Rockville, MD 20852-4908 |
Second Address | Kensington, MD 20895-2138 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2006 |
Last Update Date | 06/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P82342 | (02) |