| Doctor Name: | DR. JACK DALY |
| NPI Number: | 1063505360 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M. |
| License Number: | 2149 |
| Business Practice Address: | 253 Salem St Malden, MA - 021484118 |
| Business Phone Number: | 7813227716 |
| Business Fax Number: | 7813227727 |
| Mailing Address: | Po Box 190, MALDEN |
| State: | MA |
| Postal Code: | 021480002 |
| Phone Number: | 7813227716 |
| Fax Number: | 7813227727 |
| NPI Enumeration Date: | 10/02/2006 |
| NPI Last Update Date: | 08/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | 2149 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |