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NPI Code Detail

MEDICARE: GERALD FRANCIS DRISCOLL JR. CRNP

MEDICARE: GERALD FRANCIS DRISCOLL JR. CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LG0600XGerontology Nurse PractitionerUP005265HPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366431207
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERALD FRANCIS DRISCOLL JR. CRNP
Provider Business Mailing Address
First Line : 1488 MULBERRY CIR
Second Line :
City : WARMINSTER
State : PA
Zip : 18974-1860
Country : US
Telephone Number : 488-132-0206
Fax Number :
Provider Business Practice Location Address
First Line : 3621 ARAMINGO AVE STE 5C
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19134-4607
Country : US
Telephone Number : 215-444-7472
Fax Number : 215-979-6726
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2005
Last Update Date : 06/02/2025

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