Individual
JOAN O'DRISCOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
271 GROVE AVE, BUILDING C, VERONA, NJ 07044-1730
(845) 667-1039
Mailing address
271 GROVE AVE, BUILDING C, VERONA, NJ 07044-1730
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18KT00268300
NJ
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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