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Individual

DR. JEANINE DALY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
12 E WILLOW ST, MILLBURN, NJ 07041-1417
(973) 376-8500
Mailing address
41 RIVER TER, #1403, NEW YORK, NY 10282-1113
(917) 596-3338

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
233484
NY
207N00000X
Dermatology Physician
Primary
25MA08646500
NJ

Other

Enumeration date
06/25/2007
Last updated
02/13/2013
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