Provider Demographics
NPI:1811973803
Name:DRIVER, ALBERT G JR (MD)
Entity type:Individual
Prefix:
First Name:ALBERT
Middle Name:G
Last Name:DRIVER
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 1111
Mailing Address - Street 2:
Mailing Address - City:HARLEYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19438-0907
Mailing Address - Country:US
Mailing Address - Phone:215-453-4995
Mailing Address - Fax:215-453-4646
Practice Address - Street 1:817 LAWN AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:SELLERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18960-1579
Practice Address - Country:US
Practice Address - Phone:215-257-8391
Practice Address - Fax:215-453-6955
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2017-03-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD049972L207RP1001X, 207RA0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAC83573Medicare UPIN