MEDICARE: ELIZABETH MARIE DALY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD451489	PA
2	207Q00000X	Family Medicine Physician	C1-0011021	DE

General Provider Information

NPI Number	:	1073802252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH MARIE DALY M.D.

Provider Business Mailing Address
First Line	:	3803 W CHESTER PIKE STE 160
Second Line	:
City	:	NEWTOWN SQUARE
State	:	PA
Zip	:	19073-2336
Country	:	US
Telephone Number	:	610-828-2608
Fax Number	:	610-828-0102

Provider Business Practice Location Address
First Line	:	1100 E HECTOR ST STE 105
Second Line	:
City	:	CONSHOHOCKEN
State	:	PA
Zip	:	19428-2320
Country	:	US
Telephone Number	:	610-828-2608
Fax Number	:	610-828-0102

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2011
Last Update Date	:	11/25/2025

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