Jack Daly D.P.M.

NPI 1063505360 - Podiatrist - 213ES0131X

NPI Details
NPI 1063505360
Gender Male
Enumeration Date 10/02/2006
Last Updated 08/19/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
253 SALEM ST
MALDEN MA, 02148-4118, US
Phone (781) 322-7716
Fax (781) 322-7727
Business Location
PO BOX 190
MALDEN MA, 02148-0002, US
Phone (781) 322-7716
Fax (781) 322-7727
Toxanomy
Taxonomy Code 213ES0131X
License State Massachusetts
License Number 2149
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According to our database, Dr. Jack Daly D.P.M. NPI is 1063505360, taxonomy code is 213ES0131X and license number is 2149, license state is located at Massachusetts. Jack Daly D.P.M. physically located at 253 Salem St, Malden MA, 02148-4118. NPI Number Jack Daly D.P.M. has the Individual type.

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1063505360 NPI number is provided on an as is basis without warranty of any kind. 1063505360 is maintained by the National Plan & Provider Enumeration System. The contents of Jack Daly D.P.M. are for informational purposes only.