MEDICARE: DR. RONNY ISAAC DRAPKIN M.D., PH.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0101X	Anatomic Pathology Physician	209348	MA

General Provider Information

NPI Number	:	1295706034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONNY ISAAC DRAPKIN M.D., PH.D

Provider Business Mailing Address
First Line	:	44 MELBOURNE AVE
Second Line	:
City	:	NEWTON
State	:	MA
Zip	:	02460-1222
Country	:	US
Telephone Number	:	617-969-4014
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 JIMMY FUND WAY
Second Line	:	DANA-FARBER CANCER INSTITUTE, SMITH 810
City	:	BOSTON
State	:	MA
Zip	:	02115-6007
Country	:	US
Telephone Number	:	617-632-4380
Fax Number	:	617-632-4381

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	07/08/2007

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