Individual
DR. PAK-KAN ALBERT LO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
651 WILLOW GROVE ST, HACKETTSTOWN, NJ 07840-1799
(908) 850-6842
(908) 850-6840
Mailing address
34 YORKSHIRE DR, HACKETTSTOWN, NJ 07840-5606
(908) 813-2617
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA04967300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0798207
—
NJ
Enumeration date
10/31/2006
Last updated
07/08/2007
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