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1013025170 NPI number — EDWARD ANTHONY DALY JR. M.D.

NPI Number: 1013025170
Health Care Provider/Practitioner: EDWARD ANTHONY DALY JR. M.D.

Information about “1013025170” NPI (EDWARD ANTHONY DALY JR. M.D.) exists in 1013025170 in HTML format HTML  |  1013025170 in plain Text format TXT  |  1013025170 in PDF (Portable Document Format) PDF  |  1013025170 in an XML format XML  formats.

NPI Number : 1013025170 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013025170",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DALY",
    "FirstName": "EDWARD",
    "MiddleName": "ANTHONY",
    "NamePrefix": "MR.",
    "NameSuffix": "JR.",
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DALY",
    "OtherFirstName": "TED",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "VA CENTRAL WESTERN MASS DEPT OF RADIOLOGY",
    "SecondLineMailingAddress": "421 NORTH MAIN STREET",
    "MailingAddressCityName": "NORTHAMPTON",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "01053",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "413-584-4040",
    "MailingAddressFaxNumber": "415-341-1645",
    "FirstLinePracticeLocationAddress": "1 JARRETT WHITE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TRIPLER ARMY MEDICAL CENTER",
    "PracticeLocationAddressStateName": "HI",
    "PracticeLocationAddressPostalCode": "96859-5001",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "888-683-2778",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/28/2006",
    "LastUpdateDate": "12/18/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2085B0100X",
        "TaxonomyName": "Body Imaging Physician",
        "LicenseNumber": "13619",
        "LicenseNumberStateCode": "NH",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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