Healthcare Provider Details

I. General information

NPI: 1083640817
Provider Name (Legal Business Name): HOLLY A. DRISCOLL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 PROSPECT STREET
MILFORD MA
01757-3003
US

IV. Provider business mailing address

124 GROVE STREET SUITE 305
FRANKLIN MA
02038-3156
US

V. Phone/Fax

Practice location:
  • Phone: 508-473-1190
  • Fax: 508-482-5416
Mailing address:
  • Phone: 508-528-5392
  • Fax: 508-541-2420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA1069
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA1069
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: