| Doctor Name: | DR. DAVID JOHN ADDIS |
| NPI Number: | 1770656068 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 25MA02546000 |
| Business Practice Address: | 334 Farnsworth Ave Bordentown, NJ - 08505 |
| Business Phone Number: | 6092981823 |
| Business Fax Number: | |
| Mailing Address: | 334 Farnsworth Ave, BORDENTOWN |
| State: | NJ |
| Postal Code: | 08505 |
| Phone Number: | 6092981823 |
| Fax Number: | 6092989363 |
| NPI Enumeration Date: | 11/16/2006 |
| NPI Last Update Date: | 08/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 25MA02546000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |