Active NPIIndividual providerSole proprietor

Dr. Jack Daly, DPM

Podiatrist, Primary Podiatric Medicine in Malden, Massachusetts

NPI Number1063505360
Practice location
253 Salem St, Malden, MA 02148-4118
Fax
781-322-7727
Last updated
August 19, 2008

Jack Daly is a Podiatrist, Primary Podiatric Medicine based in Malden, MA. Jack Daly practices in Malden, MA and has the professional credentials of DPM. The NPI Number for Jack Daly is 1063505360 and holds a License No. 2149 (MA). The current practice location address for Jack Daly is 253 Salem St, Malden, MA 02148-4118 and can be reached out via phone at 781-322-7716 and via fax at 781-322-7727.

Provider Profile Details

NPI Number
1063505360
Provider Name
Jack Daly
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
253 Salem St, Malden, MA 02148-4118
Phone Number
781-322-7716
Fax Number
781-322-7727
Primary Taxonomy
Podiatrist, Primary Podiatric Medicine · 213EP1101X
Sole Proprietor
Yes
Provider Enumeration Date
October 2, 2006
Last Update Date
August 19, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
253 Salem St
Malden, MA 02148-4118
City
Malden
Zip
02148-4118
Phone Number
781-322-7716
Fax Number
781-322-7727
Malden, MA 02148Get directions →

Provider Business Mailing Address Details

Address
Po Box 190
Malden, MA 02148-0002
City
Malden
State
MA
Zip
02148-0002
Phone Number
781-322-7716
Fax Number
781-322-7727

License Information

License Number (1)
2149
License State (1)
MA
Taxonomy (1)
Podiatrist, Primary Podiatric Medicine · 213EP1101X · Primary
License Number (2)
2149
License State (2)
MA
Taxonomy (2)
· 213ES0131X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jack Daly, DPM?

The NPI number of Dr. Jack Daly, DPM is 1063505360. It was assigned on October 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Jack Daly, DPM?

Dr. Jack Daly, DPM is registered under the primary taxonomy Podiatrist, Primary Podiatric Medicine (code 213EP1101X), licensed in MA under license number 2149.

Where does Dr. Jack Daly, DPM practice?

The practice location is 253 Salem St, Malden, MA 02148-4118. The office can be reached at 781-322-7716 (phone) or 781-322-7727 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063505360 directly on the NPPES registry website.

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