Individual
STEPHEN F. D'ADDARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
190D SAUNDERSVILLE RD STE 2005, HENDERSONVILLE, TN 37075-1008
(629) 240-8588
(615) 851-7760
Mailing address
3810 CENTRAL PIKE, HERMITAGE, TN 37076-3494
(815) 744-8554
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
35.090328
OH
207ND0101X
MOHS-Micrographic Surgery Physician
35090328
OH
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
6544
TN
207ND0101X
MOHS-Micrographic Surgery Physician
E-6763
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2780629
—
OH
Enumeration date
06/06/2006
Last updated
01/31/2024
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