Organization
DR. KENNETH J. ADESSA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH JOHN ADESSA MD (PRESIDENT)
(973) 768-8105
Entity
Organization
Contact information
Practice address
3699 US HIGHWAY 46, PARSIPPANY, NJ 07054-1049
(973) 768-8105
Mailing address
PO BOX 1285, SPARTA, NJ 07871-5285
(973) 768-8105
(973) 827-7413
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06454200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7780508
—
NJ
Enumeration date
03/23/2007
Last updated
01/02/2024
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