Individual
JOHN ADDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1279 VIRGINIA ST APT C, ELIZABETH, NJ 07208-3012
(908) 977-7153
Mailing address
1279 VIRGINIA ST APT C, ELIZABETH, NJ 07208-3012
(908) 977-7153
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
891376-01
NY
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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