Individual
KENNETH JOHN ADESSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3699 ROUTE 46, PARSIPPANY, NJ 07054-1049
(973) 768-8105
(973) 827-7413
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
25MA06454200
NJ
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
25MA06454200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7780508
—
NJ
Enumeration date
04/27/2006
Last updated
02/06/2024
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