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Contact Information

NELLY M ADDISON
253 GORDONS CORNER RD
MANALAPAN TOWNSHIP, NJ07726-3357
 Phone: 866-389-2727
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for NELLY M ADDISON · (Female)

NPI # 1063095826
Status Active
Credentials
Entity Individual
Enumeration date 04/29/2021
Last updated 04/29/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 26NJ01142600
  • NY License # F347193
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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