Individual
PATRICK J DALEY
Active
Individual
PATRICK J DALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01035420A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000641071
ANTHEM
IN
01
—
060070888
RR MEDICARE
IN
05
—
0783488
—
OH
05
—
100085410
—
IN
01
—
P00807503
R.R. MEDICARE
IN
Enumeration date
08/11/2005
Last updated
09/23/2013
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