Healthcare Provider Details

I. General information

NPI: 1750371159
Provider Name (Legal Business Name): DAVID H. HALEY D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/26/2005
Last Update Date: 02/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 MILLTOWN RD SUITE 24
WILMINGTON DE
19808-4027
US

IV. Provider business mailing address

1601 MILLTOWN RD SUITE 24
WILMINGTON DE
19808-4027
US

V. Phone/Fax

Practice location:
  • Phone: 302-998-0178
  • Fax: 302-999-0700
Mailing address:
  • Phone: 302-998-0178
  • Fax: 302-999-0700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberEI-0000105
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: