Individual
DR. ERIC ALEXANDER ADDO
Active
Individual
DR. ERIC ALEXANDER ADDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME121391
FL
2085R0204X
Vascular & Interventional Radiology Physician
25MA10621500
NJ
2085R0204X
Vascular & Interventional Radiology Physician
ME121391
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106273300
—
FL
01
—
Q00423072
RAILROAD MEDICARE PTAN OHMG
FL
01
—
QC666
MEDICARE PTAN OHMG
FL
01
—
YRVDJ
BCBS
FL
Enumeration date
05/14/2013
Last updated
04/29/2026
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