Provider Demographics
NPI:1538130554
Name:MCGEE, DANIEL B (DPM)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:B
Last Name:MCGEE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 LAKEHURST RD
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-0820
Mailing Address - Country:US
Mailing Address - Phone:732-473-9006
Mailing Address - Fax:732-286-1901
Practice Address - Street 1:517 LAKEHURST RD
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-0820
Practice Address - Country:US
Practice Address - Phone:732-473-9006
Practice Address - Fax:732-286-1901
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-28
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00198900213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6254608Medicaid
U10491Medicare UPIN
NJ6254608Medicaid
NJ0177040001Medicare NSC