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Kristopher Daley, M.D.

Radiology, Vascular & Interventional Radiology in Providence, RI. Individual provider (NPI-1).

NPI number1760642011
StatusActive
Last updated in NPPESJun 20, 2013

Details

NPI
1760642011
Entity type
Individual (NPI-1)
Name
Kristopher Daley
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 11, 2008
Last updated
Jun 20, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0204X Radiology, Vascular & Interventional Radiology13441RIYes
207R00000X Internal Medicine236538MA
2085R0202X Radiology, Diagnostic RadiologyMD13341RI

Practice location

593 Eddy St
Providence, RI 02903-4923

Phone 401-444-5184

Mailing address

20 Catamore Blvd
East Providence, RI 02914

Phone 401-432-2520

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