| NPI | 1184162356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL G HENNESSY Owner 973-895-3288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00319000) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-05-03 |