Individual
PERRY LOESBERG
Active
Individual
PERRY LOESBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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