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NPI Code Detail

MEDICARE: JAMES P DAILEY M.D.

MEDICARE:   JAMES P DAILEY  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
1207WX0107XRetina Specialist (Ophthalmology) PhysicianMD041458LPA
2207W00000XOphthalmology PhysicianMD041458LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2679918OTHERPAHIGHMARK BCBS

General Provider Information

NPI Number : 1194720714
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES P DAILEY M.D.
Provider Business Mailing Address
First Line : 300 STATE ST
Second Line : STE 201
City : ERIE
State : PA
Zip : 16507-1429
Country : US
Telephone Number : 814-456-4241
Fax Number : 814-453-3354
Provider Business Practice Location Address
First Line : 300 STATE ST
Second Line : STE 201
City : ERIE
State : PA
Zip : 16507-1429
Country : US
Telephone Number : 814-456-4241
Fax Number : 814-453-3354
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 11/05/2020

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Directions to “ JAMES P DAILEY M.D.” Practice Location

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