Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 51253 | MA |
NPI | 1013983907 |
---|---|
Provider Name | Dr. Donald A Driscoll JR. |
First Address | Concord, MA 01742-2137 |
Second Address | Concord, MA 01742-2137 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2006 |
Last Update Date | 27/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200010503 | RAILROAD MEDICARE (01) | MA |
B97724 | (02) | MA |