Individual
DR. STACI JOY ADDESSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1 BETHANY RD, SUITE 29 BUILDING 2, HAZLET, NJ 07730-1663
(732) 739-3345
(732) 739-3376
Mailing address
401 BUCHANAN BLVD, RED BANK, NJ 07701-5319
(732) 747-1464
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00604200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P3491525
OXFORD
NJ
Enumeration date
12/21/2005
Last updated
11/07/2012
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