Organization · NPI-2

Advanced Therapeutic Modalities, LLC

Nurse Practitioner, Family · Hackensack, NJ

NPI number1699597625

StatusActive

Last updated in NPPESOct 30, 2024

Details

NPI: 1699597625
Entity type: Organization (NPI-2)
Legal business name: Advanced Therapeutic Modalities, LLC
Organization subpart: No
Enumeration date: Oct 30, 2024
Certification date: Oct 30, 2024
Last updated: Oct 30, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LF0000X	Nurse Practitioner, Family	–	–	Yes

Practice location

61 Hudson St
Hackensack, NJ 07601-6943

Phone 908-456-0600

Mailing address

666 Yorktown Pl
Paramus, NJ 07652-2208

Phone 908-456-0060

Authorized official

Marie Ann Addesa
Nurse Practitioner
9084560060

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