Individual
DR. DANIEL JOSEPH HALLISSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
52 CREST AVE, WINTHROP, MA 02152-1064
(617) 539-0197
(617) 539-0669
Mailing address
10 SLAYTON RD, MELROSE, MA 02176-4222
(781) 662-6196
(617) 361-3297
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MA2135
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0326526
—
MA
Enumeration date
03/07/2007
Last updated
06/07/2016
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