Healthcare Provider Details

I. General information

NPI: 1770962987
Provider Name (Legal Business Name): APARNA SUSAN DALEY MB CHB
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2015
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 REED AVE STE 108
WYOMISSING PA
19610-2039
US

IV. Provider business mailing address

9800 SHELBYVILLE RD STE 220
LOUISVILLE KY
40223-2992
US

V. Phone/Fax

Practice location:
  • Phone: 610-478-4033
  • Fax: 855-656-7325
Mailing address:
  • Phone: 800-999-1249
  • Fax: 855-656-7325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License NumberMD470579
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberMD470579
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: