DR. Jack F Dalton, M.D.

NPI #1619947082 in Forest Hills, New York

Provider Information

NPI Number: 1619947082
Entity Type: Individual
Name: DR. Jack F Dalton, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Jan 26, 2006
Last Updated: Jan 11, 2011

Practice Location

Address: 106-14 70TH AVENUE
City: Forest Hills
State: New York
ZIP Code: 11375
Phone: (718) 520-6620

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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