NPI 1336103597 · live from the CMS NPI Registry
Timothy A. Daly, MD
Anesthesiology in Rutland, VT. National Provider Identifier 1336103597, active.
NPI record
| NPI | 1336103597 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 160 Allen Street, Rutland, VT 05701 |
| Practice phone | 802-747-1700 |
| Mailing address | 1613 N. Harrison Parkway, Suite 200, Mailstop Sh-9a, Sunrise, FL 33323 |
| Enumerated | April 14, 2006 |
| Last updated | May 22, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology | 207L00000X | J1515 (TX) |
| Anesthesiology primary | 207L00000X | 042-0011332 (VT) |
| Anesthesiology | 207L00000X | D47351 (MD) |
| Anesthesiology | 207L00000X | 0101232008 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.