Individual
THEODORE GEORGE DRIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
3400 CIVIC CENTER BLVD, STE 3005, PHILADELPHIA, PA 19104-5127
(215) 662-4740
(215) 614-0298
Mailing address
3400 CIVIC CENTER BLVD, STE 3005, PHILADELPHIA, PA 19104-5127
(215) 662-4740
(215) 614-0298
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
MD467163
PA
Other
Enumeration date
04/01/2015
Last updated
07/15/2019
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