Individual
DR. DANIEL W MAENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6310 BERGENLINE AVE, WEST NEW YORK, NJ 07093-1620
(201) 869-6220
(201) 869-5145
Mailing address
6310 BERGENLINE AVE, WEST NEW YORK, NJ 07093-1620
(201) 869-6220
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
38MC00505000
NJ
207Q00000X
Family Medicine Physician
Primary
25MB10577900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/08/2007
Last updated
05/06/2019
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