Individual
PATRICK W DALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11711 LIVINGSTON RD, FORT WASHINGTON, MD 20744-5151
(540) 364-2259
(540) 364-6033
Mailing address
PO BOX 500, MARSHALL, VA 20116-0500
(877) 641-2239
(781) 276-6403
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0053117
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028310001
—
MD
05
—
029597800
—
DC
01
—
76881001
BLUE SHIELD
MD
01
—
H9140001
BLUE SHIELD
DC
Enumeration date
03/31/2006
Last updated
02/09/2012
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