MEDICARE: SLESS CONSULTING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	25MB07099600	NJ

General Provider Information

NPI Number	:	1477074680
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLESS CONSULTING, LLC

Provider Business Mailing Address
First Line	:	2829 ATLANTIC AVE FL 1
Second Line	:
City	:	ATLANTIC CITY
State	:	NJ
Zip	:	08401-6325
Country	:	US
Telephone Number	:	609-348-4813
Fax Number	:	609-345-2105

Provider Business Practice Location Address
First Line	:	2829 ATLANTIC AVE FL 1
Second Line	:
City	:	ATLANTIC CITY
State	:	NJ
Zip	:	08401-6325
Country	:	US
Telephone Number	:	609-348-4813
Fax Number	:	609-345-2105

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	DANA E SLESS
Credential	:	DO, FAAP
Telephone Number	:	609-348-4813

Provider Enumeration Date	:	06/28/2017
Last Update Date	:	07/21/2022

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