# HENNESSY MEDICAL PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Boonton Foot and Ankle
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861177255
- **Authorized official:** DANIEL G. HENNESSY DPM (CEO)
- **Authorized official phone:** (973) 895-3288

## Contact information

- **Practice address:** 223 W MAIN ST, BOONTON, NJ 07005-1166
- **Practice address phone:** (973) 402-1973
- **Practice address fax:** (973) 402-1969
- **Mailing address:** 3155 STATE ROUTE 10 STE 215, DENVILLE, NJ 07834-3430
- **Mailing address phone:** (973) 895-3288
- **Mailing address fax:** (973) 402-1969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 06/21/2023
- **Last updated:** 06/21/2023