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Organization
HENNESSY MEDICAL PROFESSIONAL CORPORATION
Active
Organization
HENNESSY MEDICAL PROFESSIONAL CORPORATION
Active
Other names
Boonton Foot and Ankle
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL G. HENNESSY DPM (CEO)
(973) 895-3288
Entity
Organization
Contact information
Practice address
223 W MAIN ST, BOONTON, NJ 07005-1166
(973) 402-1973
(973) 402-1969
Mailing address
3155 STATE ROUTE 10 STE 215, DENVILLE, NJ 07834-3430
(973) 895-3288
(973) 402-1969
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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