Healthcare Provider Details

I. General information

NPI: 1558419770
Provider Name (Legal Business Name): JEFFREY MICHAEL DROOD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 KENYON AVE
WAKEFIELD RI
02879-4239
US

IV. Provider business mailing address

455 TOLL GATE RD PRC AND CREDENTIAILNG
WARWOCL RI
02886-2759
US

V. Phone/Fax

Practice location:
  • Phone: 401-789-5770
  • Fax: 401-889-5082
Mailing address:
  • Phone: 401-273-0641
  • Fax: 401-273-2919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD20267
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: