Jack Daly in Malden - Primary Podiatric Medicine

Jack Daly - NPI 1063505360

Jack Daly is a Primary Podiatric Medicine in Malden, Massachusetts. Jack Daly practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Jack Daly is 1063505360. The last update date is 2008-08-19.

Jack Daly's current location address is Po Box 190, Malden, Massachusetts. You can contact this provider via phone number 7813227716 and fax number 7813227727. The mailing address for Jack Daly is Po Box 190, Malden, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Jack Daly
Address Po Box 190, Malden, Massachusetts
Phone Number 7813227716
Fax Number 7813227727
Sole Proprietor Y
Credentials D.P.M.

NPI Number Detail

NPI Number 1063505360
Provider Enumeration Date 2006-10-02
Last Updated Date 2008-08-19

Provider Mailing Address Detail

Address Po Box 190
City Malden
State Massachusetts (MA)
Post Code 21480002
Phone Number 7813227716
Fax Number 7813227727

Provider's Primary Taxonomy Detail

Speciality Primary Podiatric Medicine
Taxonomy 213Ep1101X
Licence No 2149
Definition:
A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
326534 MA --

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FAQs about Jack Daly

What is the unique 10-digit identifier code issued to Jack Daly by the Centers for Medicare & Medicaid Services?

The Jack Daly has been assigned the NPI (National Provider Identifier) 1063505360 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Jack Daly is physically located?

The Jack Daly is physically situated at the following address: Po Box 190, Malden, MA, 21480002.

What is the area of specialization for Jack Daly, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jack Daly is Primary Podiatric Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 213Ep1101X.

When did Jack Daly receive its 1063505360 assignment?

The Jack Daly was assigned its 1063505360 on 2006-10-02, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Jack Daly most recently updated or revised?

The information pertaining to Jack Daly, including its address, specialty, and other relevant details, was last updated or revised on 2008-08-19.

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