# DANIEL G. HENNESSY, DPM, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912322686
- **Authorized official:** DR. DANIEL G. HENNESSY DPM (PHYSICIAN)
- **Authorized official phone:** (201) 939-9098

## Contact information

- **Practice address:** 160 RIDGE RD, LYNDHURST, NJ 07071-1275
- **Practice address phone:** (201) 939-9098
- **Mailing address:** 160 RIDGE RD, LYNDHURST, NJ 07071-1275

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 25MD00319000 | NJ | Yes |

## Other

- **Enumeration date:** 03/04/2014
- **Last updated:** 03/04/2014