Dr. Jack Daly
Foot Surgery Primary Podiatric Medicine
253 Salem St
Malden
, Massachusetts 02148-4118
Dr. Jack Daly
Foot Surgery Primary Podiatric Medicine
253 Salem St
Malden
, Massachusetts 02148-4118
(781) 322-7727
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About
Features
Specialties
- Primary Podiatric Medicine
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Jack Daly
- Po Box 190
- Malden, MA
- Zip : 02148-0002
- Fax : (781) 322-7727
- Phone : (781) 322-7716
Second Address
- Dr. Jack Daly
- 253 Salem St
- Malden, MA
- Zip : 02148-4118
- Fax : (781) 322-7727
- Phone : (781) 322-7716
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | 2149 | MA |
| N | 213ES0131X | Foot Surgery | 2149 | MA |
National Provider Identifier
| NPI | 1063505360 |
|---|---|
| Provider Name | Dr. Jack 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 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0326534 | (05) | MA |
| U81496 | (02) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.