1003945148 NPI number — DR. BARBARA SABIN DALEY

Table of content: DR. BARBARA SABIN DALEY (NPI 1003945148)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003945148 NPI number — DR. BARBARA SABIN DALEY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DALEY
Provider First Name:
BARBARA
Provider Middle Name:
SABIN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003945148
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
42 WASHINGTON ST
Provider Second Line Business Mailing Address:
STE. 100
Provider Business Mailing Address City Name:
WELLESLEY
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02481-1803
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
781-416-1919
Provider Business Mailing Address Fax Number:
781-236-9017

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
42 WASHINGTON ST
Provider Second Line Business Practice Location Address:
STE. 100
Provider Business Practice Location Address City Name:
WELLESLEY
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02481-1803
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
781-416-1919
Provider Business Practice Location Address Fax Number:
781-236-9017
Provider Enumeration Date:
03/05/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  6450 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1016980 . This is a "BEACON HLTH STRAT. #" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 331127 . This is a "MAGELLEN PROVIDER NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 61923-79077 . This is a "UBH PROVIDER #" identifier . This identifiers is of the category "OTHER".
  • Identifier: 405944 . This is a "TUFTS HLTH PLN PROVIDER #" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: WO5208 . This is a "BLUE CROSS PROVIDER NUMBE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 330653 . This is a "HARVARD PILGRIM PROVIDER" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com