Individual
DR. DIANA M ADDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
89 SPARTA AVE, SUITE 210, SPARTA, NJ 07871-1777
(908) 918-0001
(908) 918-0003
Mailing address
98 FORD RD, SUITE 3-H, DENVILLE, NJ 07834-1374
(973) 625-3366
(973) 625-0349
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA07065800
NJ
2086X0206X
Surgical Oncology Physician
Primary
25MA07065800
NJ
Other
Enumeration date
08/31/2006
Last updated
07/29/2010
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