Provider Demographics
NPI:1174950992
Name:DALY, JOHN PETER (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PETER
Last Name:DALY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:702 MERIDIAN AVE STE L #285
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95125-5586
Mailing Address - Country:US
Mailing Address - Phone:831-345-3735
Mailing Address - Fax:888-377-2923
Practice Address - Street 1:150 W HEDDING ST FL 1
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95110-1706
Practice Address - Country:US
Practice Address - Phone:408-808-5299
Practice Address - Fax:888-377-2923
Is Sole Proprietor?:No
Enumeration Date:2013-10-11
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA1272972084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry