Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | D30433 | MD |
Y | 207QG0300X | Family Doctor - Geriatric Medicine | D30433 | MD |
NPI | 1154347219 |
---|---|
Provider Name | Dr. Mel P Daly |
First Address | Boston, MA 02241-8953 |
Second Address | Baltimore, MD 21204-6808 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 15/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
464451402 | (05) | MD |
D66491 | (02) | |
KJ15-35435502 | CAREFIRST MARYLAND (01) | MD |
S1420002 | CAREFIRST REGIONAL (01) | MD |