Healthcare Provider Details

I. General information

NPI: 1467505750
Provider Name (Legal Business Name): WILLIAM EDWARD DALEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 LINCOLN ST MWMC EMERGENCY DEPT
FRAMINGHAM MA
01701
US

IV. Provider business mailing address

14 FRUIT ST
ASHLAND MA
01721-1827
US

V. Phone/Fax

Practice location:
  • Phone: 508-383-1104
  • Fax:
Mailing address:
  • Phone: 508-881-7747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number47959
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: