Healthcare Provider Details

I. General information

NPI: 1932139029
Provider Name (Legal Business Name): ERIC DROGIN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 LINCOLN ST SUITE 2400
HINGHAM MA
02043-1578
US

IV. Provider business mailing address

350 LINCOLN ST SUITE 2400
HINGHAM MA
02043-1578
US

V. Phone/Fax

Practice location:
  • Phone: 877-877-6692
  • Fax: 877-877-6685
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number8040
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: