Healthcare Provider Details

I. General information

NPI: 1477074680
Provider Name (Legal Business Name): SLESS CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2829 ATLANTIC AVE FL 1
ATLANTIC CITY NJ
08401-6325
US

IV. Provider business mailing address

2829 ATLANTIC AVE FL 1
ATLANTIC CITY NJ
08401-6325
US

V. Phone/Fax

Practice location:
  • Phone: 609-348-4813
  • Fax: 609-345-2105
Mailing address:
  • Phone: 609-348-4813
  • Fax: 609-345-2105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25MB07099600
License Number StateNJ

VIII. Authorized Official

Name: DANA E SLESS
Title or Position: OWNER/PHYSICIAN
Credential: DO, FAAP
Phone: 609-348-4813