Individual
DR. JOHN S.F. DALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
191 CLARK AVE, SUITE 1, BRATTLEBORO, VT 05301-3400
(802) 257-4265
(802) 258-3809
Mailing address
191 CLARK AVE, SUITE 1, BRATTLEBORO, VT 05301-3400
(802) 257-4265
(802) 258-3809
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0420008109
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN0579
—
VT
05
—
1002250
—
VT
01
—
18882
BLUE CROSS BLUE SHIELD
VT
01
—
24P102
MVP
VT
Enumeration date
01/27/2006
Last updated
07/09/2007
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