Individual
PERRY LOESBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 HAMILTON AVE, TRENTON, NJ 08629-1915
(609) 599-5097
(609) 599-6312
Mailing address
PO BOX 18736, NEWARK, NJ 07191-8736
(800) 426-1699
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA06337000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0708933000
KHPE, PERSONAL CHOICE, AMERIHEALTH
PA
01
—
1726512
AETNA
PA
01
—
1826899
AETNA NJ
NJ
01
—
22-1994560
HORIZON BLUECROSS/BLUE SHIELD OF NEW JERSEY
NJ
01
—
22-1994560
DEVON
PA
01
—
50085438
CAPITAL BLUE CROSS
PA
01
—
5801633
CIGNA
PA
05
—
6143105
—
NJ
01
—
733912
FIRST HEALTH NETWORK
PA
01
—
LO765151
HIGHMARK BLUE SHIELD
PA
Enumeration date
07/12/2006
Last updated
03/16/2011
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