Provider Demographics
NPI:1285835041
Name:WILLIAM DRAKE III
Entity Type:Organization
Organization Name:WILLIAM DRAKE III
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:STEBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-233-5500
Mailing Address - Street 1:189 ELM ST
Mailing Address - Street 2:STE 5
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-3145
Mailing Address - Country:US
Mailing Address - Phone:908-233-5500
Mailing Address - Fax:908-233-5776
Practice Address - Street 1:189 ELM ST
Practice Address - Street 2:STE 5
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-3145
Practice Address - Country:US
Practice Address - Phone:908-233-5500
Practice Address - Fax:908-233-5776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty