Provider Demographics
NPI:1477746956
Name:DRUCKMAN, DOLPH ALEX (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:DOLPH
Middle Name:ALEX
Last Name:DRUCKMAN
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 W LAFAYETTE AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21217-4216
Mailing Address - Country:US
Mailing Address - Phone:410-523-7025
Mailing Address - Fax:410-523-7728
Practice Address - Street 1:231 W LAFAYETTE AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21217-4216
Practice Address - Country:US
Practice Address - Phone:410-523-7025
Practice Address - Fax:410-523-7728
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-20
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0028781207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease