Organization
DANIEL G. HENNESSY, DPM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL G. HENNESSY DPM (PHYSICIAN)
(201) 939-9098
Entity
Organization
Contact information
Practice address
160 RIDGE RD, LYNDHURST, NJ 07071-1275
(201) 939-9098
Mailing address
160 RIDGE RD, LYNDHURST, NJ 07071-1275
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00319000
NJ
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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