Individual
TIMOTHY A. DALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
160 ALLEN STREET, RUTLAND, VT 05701
(802) 747-1700
(806) 723-6532
Mailing address
1613 N. HARRISON PARKWAY, SUITE 200, MAILSTOP SH-9A, SUNRISE, FL 33323-2896
(954) 838-2371
(954) 851-1746
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101232008
VA
207L00000X
Anesthesiology Physician
Primary
042-0011332
VT
207L00000X
Anesthesiology Physician
D47351
MD
207L00000X
Anesthesiology Physician
J1515
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029568502
—
TX
Enumeration date
04/14/2006
Last updated
05/22/2014
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