Provider Demographics
NPI:1356380349
Name:DALEY, LUKE FRANCIS (MD)
Entity type:Individual
Prefix:
First Name:LUKE
Middle Name:FRANCIS
Last Name:DALEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601
Mailing Address - Country:US
Mailing Address - Phone:508-778-1829
Mailing Address - Fax:508-778-0113
Practice Address - Street 1:25 MAIN STREET
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601
Practice Address - Country:US
Practice Address - Phone:508-778-1829
Practice Address - Fax:508-778-0113
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA73989207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000000031681OtherBOSTON MEDICAL CENTER
4505644OtherAETNA
J14458OtherBCBS
0038768OtherNEIGHBORHOOD HEALTH PLAN
11080080OtherCAQH
2500705OtherUNITED HEALTH
J14458OtherMEDICARE
MD255390AOtherMA CDS
737353OtherTUFTS
MAP00298585OtherMEDICARE ID
MA1356380349OtherUNICARE
MA1356380349OtherNETWORK HEALTH
MA1356380349OtherGREAT WEST HEALTHCARE
73989OtherMA LICENSE
MA3120911Medicaid
66820OtherHPH
66820OtherHPH
737353OtherTUFTS
014458Medicare PIN