Provider Demographics
NPI:1477550002
Name:DRIVER, PAUL J (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:J
Last Name:DRIVER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5001 FRANKFORD AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19124-2619
Mailing Address - Country:US
Mailing Address - Phone:215-288-5000
Mailing Address - Fax:215-744-1233
Practice Address - Street 1:5001 FRANKFORD AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19124-2619
Practice Address - Country:US
Practice Address - Phone:215-288-5000
Practice Address - Fax:215-744-1233
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA06287800207W00000X
PAMD055909L207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ01000740700OtherAMERICHOICE NJ
PA0160949806OtherAMERICHOICE PA
NJ0827762000OtherAMERIHEALTH
PA232246884OtherHEALTH PARTNERS
PA0160949807OtherAMERICHOICE PA
NJ0620133OtherAETNA HMO
PA3Y4954OtherHEALTH NET
PA5236407OtherAETNA PPO
PA16094980002Medicaid
PA535526OtherAETNA HMO
PA9635OtherELDER HEALTH
PA0160949805OtherAMERICHOICE PA
NJ2K4019OtherHEALTH NET
NJ6798209Medicaid
NJ5236407OtherAETNA PPO
PA8325714OtherCIGNA
NJ8325714OtherCIGNA
PA16094980002Medicaid
NJ0620133OtherAETNA HMO
PA3Y4954OtherHEALTH NET