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Contact Information

JACK DALY, DPM
253 SALEM ST
MALDEN, MA02148-4118
 Phone: 781-322-7716
 Fax: 781-322-7727
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Surgery, Foot

213ES0131X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JACK DALY · (Male)

NPI Number 1063505360
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 10/02/2006
Last updated 08/19/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 2149
  • MA Medicaid 0326534
Hospital affiliation(s)
  • SOUTHCOAST HOSPITAL GROUP INC - (Acute Care)
    363 HIGHLAND AVENUE
    FALL RIVER, MA 02720
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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