Healthcare Provider Details

I. General information

NPI: 1174519599
Provider Name (Legal Business Name): BRIEN PATRICK DALY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2005
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

134 SOUTH ST 2ND FLOOR
WESTON MA
02493
US

IV. Provider business mailing address

330 MOUNT AUBURN ST # 2
CAMBRIDGE MA
02138-5597
US

V. Phone/Fax

Practice location:
  • Phone: 781-893-2224
  • Fax: 781-891-1041
Mailing address:
  • Phone: 617-499-5054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number74793
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: