Individual
DR. MARIE ANN ADDESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN, D.C.
Contact information
Practice address
647 MAIN AVE STE 202, PASSAIC, NJ 07055-4962
(973) 778-2300
Mailing address
647 MAIN AVE STE 202, PASSAIC, NJ 07055-4962
(973) 778-2300
(973) 778-2311
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
38MC00467000
NJ
363LF0000X
Family Nurse Practitioner
26NJ14914900
NJ
363LF0000X
Family Nurse Practitioner
350691
NY
363LF0000X
Family Nurse Practitioner
APRN11027588
FL
Other
Enumeration date
06/04/2007
Last updated
09/15/2023
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