MEDICARE: PETER DALY

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	208000000X	Pediatrics Physician	MD042560E	PA

General Provider Information

NPI Number	:	1760485924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER DALY

Provider Business Mailing Address
First Line	:	710 THOMPSON AVE
Second Line	:	LEVEL 3 - COW POD
City	:	MC KEES ROCKS
State	:	PA
Zip	:	15136-3808
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	151 RUTH ST
Second Line	:	LEVEL 3 - COW POD
City	:	PITTSBURGH
State	:	PA
Zip	:	15211-2384
Country	:	US
Telephone Number	:	412-431-3520
Fax Number	:

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	04/06/2021

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Directions to “ PETER DALY ” Practice Location

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