Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 2118 | MA |
N | 213ES0131X | Foot Surgery | 2118 | MA |
NPI | 1447343744 |
---|---|
Provider Name | Dr. Albert A Daly |
First Address | Malden, MA 02148-0002 |
Second Address | Malden, MA 02148-4118 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 19/08/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0330086 | (05) | MA |
U74874 | (02) | MA |