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Individual

DR. DANIEL HENNESSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
12401 ACADEMY RD STE 201, PHILADELPHIA, PA 19154-1934
(215) 637-3121
Mailing address
699 BEAVER ST UNIT 1142, BRISTOL, PA 19007-3888
(727) 403-0333

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC007226
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
061.0000029
VT
05
SC007226
PA
Enumeration date
07/21/2020
Last updated
09/18/2025
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