Organization
HACKETTSTOWN MEDICAL P.C.
Active
Parent organization
PRIMARY CARE PARTNERS
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIMARY CARE PARTNERS
Authorized official
DR. KERI LYNN INGRASSIA-SQUIERS D.O. (PRESIDENT)
(908) 979-0050
Entity
Organization
Contact information
Practice address
5 HASTINGS SQUARE MALL, SCHOOLEYS MOUNTAIN ROAD, HACKETTSTOWN, NJ 07840-4227
(908) 979-0050
Mailing address
5 HASTINGS SQUARE MALL, SCHOOLEYS MOUNTAIN ROAD, HACKETTSTOWN, NJ 07840-4227
(908) 979-0050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MB72580
NJ
Other
Enumeration date
10/09/2006
Last updated
01/24/2014
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