Doctor Name: | DR. SUSAN C DALY |
NPI Number: | 1396797858 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 021627 |
Business Practice Address: | 1007 North Main Street Dayville, CT - 062410839 |
Business Phone Number: | 8607742020 |
Business Fax Number: | 8607740826 |
Mailing Address: | 1007 North Main Street, P. O. Box 839 DAYVILLE |
State: | CT |
Postal Code: | 062410839 |
Phone Number: | 8607742020 |
Fax Number: | 8607740826 |
NPI Enumeration Date: | 05/16/2006 |
NPI Last Update Date: | 11/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 021627 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |