Drazen, Jeffrey Mark

Drazen, Jeffrey Mark is an individual health care provider with primary practice located at 725 Albany St Shapiro 9, Suite B, Boston MA 02118-2526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Drazen, Jeffrey Mark can be contacted via phone (617) 638-7480.

Contact Information

Primary practice address
725 Albany St Shapiro 9, Suite B Boston MA 02118-2526
Phone: (617) 638-7480
Fax: (617) 638-7486
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 36140 Massachusetts

Profile Details

NPI number 1003892803
LBN Legal business name Drazen, Jeffrey Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Oct 31st, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003892803 NPPES
Massachusetts MEDICAID 2054787

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