John J Daly, Iii, D.o., Pc | |
2502 Silverside Rd Wilmington DE 19810-3740 | |
(302) 479-0500 | |
Not Available |
Full Name | John J Daly, Iii, D.o., Pc |
---|---|
Speciality | Family Medicine |
Location | 2502 Silverside Rd, Wilmington, Delaware |
Authorized Official Name and Position | John J Daly (OWNER) |
Authorized Official Contact | 3024790500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
John J Daly, Iii, D.o., Pc 1602 Newport Gap Pike Wilmington DE 19808-6208 Ph: (302) 633-5840 | John J Daly, Iii, D.o., Pc 2502 Silverside Rd Wilmington DE 19810-3740 Ph: (302) 479-0500 |
NPI Number | 1962440388 |
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Provider Enumeration Date | 06/04/2006 |
Last Update Date | 05/07/2013 |
Medicare PECOS PAC ID | 4486646361 |
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Medicare Enrollment ID | O20041019000049 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962440388 | NPI | - | NPPES |
61684868 | Other | DE | BCBS OF DE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | C2-0007134 (Delaware) | Primary |
Provider Name | John J Daly |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134109101 PECOS PAC ID: 0941260475 Enrollment ID: I20041019000073 |
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