1285628248 NPI number — DR. FRANCIS C DRURY MD

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285628248 NPI number — DR. FRANCIS C DRURY MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DRURY
Provider First Name:
FRANCIS
Provider Middle Name:
C
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1285628248
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
800 N DUPONT HWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MILFORD
Provider Business Mailing Address State Name:
DE
Provider Business Mailing Address Postal Code:
19963-1006
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
302-422-3000
Provider Business Mailing Address Fax Number:
302-422-7621

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
800 N DUPONT HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MILFORD
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19963-1006
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-422-3000
Provider Business Practice Location Address Fax Number:
302-422-7621
Provider Enumeration Date:
09/07/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X , with the licence number:  CI-0001987 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: B66568 . This is a "MID ATLANTIC" identifier . This identifiers is of the category "OTHER".
  • Identifier: KG82 . This is a "BLUE SHIELD" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: D000288 . This is a "TRICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2072532 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: G2420002 . This is a "DELMARVA HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 263666 . This is a "MAMSI" identifier . This identifiers is of the category "OTHER".




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