Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 634 | MA |
NPI | 1386667079 |
---|---|
Provider Name | Dr. Daniel D. O'day |
First Address | Worcester, MA 01606-2733 |
Second Address | Worcester, MA 01606-2733 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Y35526 | (02) | MA |