Doctor Name: | DANIEL O'LEARY |
NPI Number: | 1255778551 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 458 Old Street Rd Suite 200 Peterborough, NH - 034581265 |
Business Phone Number: | 6039242144 |
Business Fax Number: | |
Mailing Address: | 458 Old Street Rd, Suite 200 PETERBOROUGH |
State: | NH |
Postal Code: | 034581265 |
Phone Number: | 6039242144 |
Fax Number: | |
NPI Enumeration Date: | 05/28/2013 |
NPI Last Update Date: | 05/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |