Daly, Jack

Daly, Jack is an sole proprietor health care provider with primary practice located at 253 Salem St , Malden MA 02148-4118. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Daly, Jack can be contacted via phone (781) 322-7716.

Contact Information

Primary practice address
253 Salem St Malden MA 02148-4118
Phone: (781) 322-7716
Fax: (781) 322-7727
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 2149 Massachusetts
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 2149 Massachusetts

Profile Details

NPI number 1063505360
LBN Legal business name Daly, Jack
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Aug 19th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063505360 NPPES
Massachusetts MEDICAID 0326534

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