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Organization

ADVANCED THERAPEUTIC MODALITIES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIE ANN ADDESA APN (NURSE PRACTITIONER)
(908) 456-0060
Entity
Organization

Contact information

Practice address
61 HUDSON ST, HACKENSACK, NJ 07601-6943
(908) 456-0600
Mailing address
666 YORKTOWN PL, PARAMUS, NJ 07652-2208
(908) 456-0060

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
10/30/2024
Last updated
10/30/2024
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