Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD449558 | PA |
N | 111NI0900X | Internist | MD449558 | PA |
Y | 207RI0011X | Interventional Cardiology | 25MA10501900 | NJ |
NPI | 1124311642 |
---|---|
Provider Name | Daniel Harris Kiss |
First Address | Eatontown, NJ 07724-2242 |
Second Address | Eatontown, NJ 07724-2242 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2011 |
Last Update Date | 02/07/2019 |