JONATHAN DRAKE

PROVIDENCE, RI
NPI1891132924
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: RI  MD15921)
Enumeration Date2013-05-30
Last Update Date2018-06-25
Business Address
JONATHAN DRAKE M.D.
593 EDDY ST APC 5
PROVIDENCE, RI 02903-4923
Phone number: 401-444-6440
Mailing Address
JONATHAN DRAKE M.D.
117 ELLENFIELD ST STE 101
PROVIDENCE, RI 02905-4513
Phone number: 401-444-6779
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