Provider Demographics
NPI:1144306721
Name:DROGIN, JEFFREY H (MD)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:H
Last Name:DROGIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 VETERANS MEMORIAL PARKWAY
Mailing Address - Street 2:BUILDING 1
Mailing Address - City:EAST PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02914
Mailing Address - Country:US
Mailing Address - Phone:401-434-5050
Mailing Address - Fax:401-434-5010
Practice Address - Street 1:450 VETERANS MEMORIAL PARKWAY
Practice Address - Street 2:BUILDING 1
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914
Practice Address - Country:US
Practice Address - Phone:401-434-5050
Practice Address - Fax:401-434-5010
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI5040207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI9000334Medicaid
AA48352OtherHARVARD PILGRIM
0400463OtherUNITED HEALTH CARE
000682OtherBLUE CHIP
AA48352OtherHARVARD PILGRIM