| NPI | 1124062658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY DRISCOLL President 215-635-3151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA sp008740) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2020-08-22 |