Individual
DR. ANDREW LOESBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 DOGWOOD DRIVE, ANNANDALE, NJ 08801
(908) 735-4477
(908) 735-6532
Mailing address
P.O. BOX 5388, CLINTON, NJ 08809
(908) 735-4477
(908) 735-6532
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA0706200
NJ
2085R0204X
Vascular & Interventional Radiology Physician
Primary
25MA07062000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8346704
—
NJ
Enumeration date
02/17/2006
Last updated
09/19/2008
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