Provider Demographics
NPI:1598056558
Name:DANIEL S. KESSEL MD PC
Entity Type:Organization
Organization Name:DANIEL S. KESSEL MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:KESSEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-890-2600
Mailing Address - Street 1:1700 WHITEHORSE-HAMILTON SQUARE RD
Mailing Address - Street 2:D-1
Mailing Address - City:HAMILTON SQUARE
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-3536
Mailing Address - Country:US
Mailing Address - Phone:609-890-2600
Mailing Address - Fax:609-890-0265
Practice Address - Street 1:1700 WHITEHORSE-HAMILTON SQUARE RD
Practice Address - Street 2:D-1
Practice Address - City:HAMILTON SQUARE
Practice Address - State:NJ
Practice Address - Zip Code:08690-3536
Practice Address - Country:US
Practice Address - Phone:609-890-2600
Practice Address - Fax:609-890-0265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-26
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA0497500174400000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC29759Medicare UPIN