NPI 1760878094

John Jay Driscoll

Practitioner Prosthetist New London, CT

Practice location

Address: 165 State St Suite 100, New London, CT 06320-6397
Phone: (860) 444-1949

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 034263 (CT)

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Registry record

NPI: 1760878094
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Apr 2015
Record last updated: 14 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.