Individual
KRISTOPHER DALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5184
Mailing address
20 CATAMORE BLVD, EAST PROVIDENCE, RI 02914
(401) 432-2520
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
236538
MA
2085R0202X
Diagnostic Radiology Physician
MD13341
RI
2085R0204X
Vascular & Interventional Radiology Physician
Primary
13441
RI
Other
Enumeration date
06/11/2008
Last updated
06/20/2013
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