# HACKETTSTOWN MEDICAL P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PRIMARY CARE PARTNERS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578650628
- **Legal business name:** PRIMARY CARE PARTNERS
- **Authorized official:** DR. KERI LYNN INGRASSIA-SQUIERS D.O. (PRESIDENT)
- **Authorized official phone:** (908) 979-0050

## Contact information

- **Practice address:** 5 HASTINGS SQUARE MALL, SCHOOLEYS MOUNTAIN ROAD, HACKETTSTOWN, NJ 07840-4227
- **Practice address phone:** (908) 979-0050
- **Mailing address:** 5 HASTINGS SQUARE MALL, SCHOOLEYS MOUNTAIN ROAD, HACKETTSTOWN, NJ 07840-4227
- **Mailing address phone:** (908) 979-0050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MB72580 | NJ | Yes |

## Other

- **Enumeration date:** 10/09/2006
- **Last updated:** 01/24/2014
