MEDICARE: ANNA DALY PA-C

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	363A00000X	Physician Assistant	MA062456	PA

General Provider Information

NPI Number	:	1336739465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA DALY PA-C

Provider Business Mailing Address
First Line	:	800 WALNUT STREET
Second Line	:	19TH FLOOR
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-5109
Country	:	US
Telephone Number	:	215-829-3409
Fax Number	:	215-829-5855

Provider Business Practice Location Address
First Line	:	800 WALNUT STREET
Second Line	:	19TH FLOOR
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-5109
Country	:	US
Telephone Number	:	215-829-3409
Fax Number	:	215-829-5855

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

Provider Enumeration Date	:	01/22/2021
Last Update Date	:	01/08/2026

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Directions to “ ANNA DALY PA-C” Practice Location

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