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NPI Code Detail

MEDICARE: PATRICK W DALY MD

MEDICARE: PATRICK W DALY MD
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
1207P00000XEmergency Medicine PhysicianD0053117MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1H9140001OTHERDCBLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
376881001OTHERMDBLUE SHIELD
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760443543
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK W DALY MD
Provider Business Mailing Address
First Line : PO BOX 500
Second Line :
City : MARSHALL
State : VA
Zip : 20116-0500
Country : US
Telephone Number : 877-641-2239
Fax Number : 781-276-6403
Provider Business Practice Location Address
First Line : 11711 LIVINGSTON RD
Second Line :
City : FORT WASHINGTON
State : MD
Zip : 20744-5151
Country : US
Telephone Number : 540-364-2259
Fax Number : 540-364-6033
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2006
Last Update Date : 02/09/2012

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