Organization
HENNESSY MEDICAL PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL G HENNESSY DPM (OWNER)
(973) 895-3288
Entity
Organization
Contact information
Practice address
3155 RT 10 EAST, SUITE 215, DENVILLE, NJ 07834-3430
(973) 895-3288
(973) 895-9047
Mailing address
3155 STATE ROUTE 10 STE 215, DENVILLE, NJ 07834-3430
(973) 895-3288
(973) 895-9047
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00319000
NJ
Other
Enumeration date
02/07/2017
Last updated
05/03/2017
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