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Individual

DR. MEL P DALY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6701 N CHARLES ST STE 4105, BALTIMORE, MD 21204-6808
(443) 849-3184
Mailing address
PO BOX 418953, BOSTON, MA 02241-8953

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
D30433
MD
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
D30433
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
464451402
MD
01
KJ15-35435502
CAREFIRST MARYLAND
MD
01
S1420002
CAREFIRST REGIONAL
MD
Enumeration date
07/14/2006
Last updated
12/15/2011
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