Adessa, Kenneth John

Adessa, Kenneth John is an sole proprietor health care provider with primary practice located at 3699 Route 46 , Parsippany NJ 07054-1049. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Adessa, Kenneth John can be contacted via phone (973) 768-8105.

Contact Information

Primary practice address
3699 Route 46 Parsippany NJ 07054-1049
Phone: (973) 768-8105
Fax: (973) 827-7413
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA06454200 New Jersey
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 25MA06454200 New Jersey

Profile Details

NPI number 1750348520
LBN Legal business name Adessa, Kenneth John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2006
Last updated Feb 6th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750348520 NPPES
New Jersey MEDICAID 7780508

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