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Individual

DR. CHARLES E. DRISCOLL

Active
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Individual

DR. CHARLES E. DRISCOLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101224139
VA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
0101224139
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0056-4239-6
—
VA
05
—
005644011
—
VA
01
—
01-02054
UNITED HEALTHCARE PROVIDE
—
01
—
216430
ANTHEM PROVIDER NUMBER
—
01
—
248773
SOUTHERN HEALTH PROVIDER
—
01
—
41816
SENTARA/OPTIMA PROVIDER N
—
01
—
541457983
PCHP PROVIDER NUMBER
—
01
—
56-4401-1
VA PREMIER PROVIDER NUMBE
—
01
—
9035997
CIGNA PROVIDER NUMBER
—
01
—
93672
MEDCOST PROVIDER NUMBER
—
Enumeration date
07/13/2005
Last updated
04/28/2009
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