Basic Information
| Provider Information | |||||||||
| NPI: | 1598056558 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DANIEL S. KESSEL MD PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1700 WHITEHORSE-HAMILTON SQUARE RD | ||||||||
| Address2: | D-1 | ||||||||
| City: | HAMILTON SQUARE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 086903536 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6098902600 | ||||||||
| FaxNumber: | 6098900265 | ||||||||
| Practice Location | |||||||||
| Address1: | 1700 WHITEHORSE-HAMILTON SQUARE RD | ||||||||
| Address2: | D-1 | ||||||||
| City: | HAMILTON SQUARE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 086903536 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6098902600 | ||||||||
| FaxNumber: | 6098900265 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/26/2011 | ||||||||
| LastUpdateDate: | 05/26/2011 | ||||||||
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| AuthorizedOfficialLastName: | KESSEL | ||||||||
| AuthorizedOfficialFirstName: | DANIEL | ||||||||
| AuthorizedOfficialMiddleName: | SCOTT | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 6098902600 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | 25MA0497500 | NJ | N | 193200000X MULTI-SPECIALTY GROUP | Other Service Providers | Specialist | 207N00000X | 25MA0497500 | NJ | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Dermatology |
No ID Information.