Organization
ALEXANDER HASELKORN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PUDCHONG SRISETHNIL MD (PHYSICIAN)
(973) 279-8850
Entity
Organization
Contact information
Practice address
750 BROADWAY, PATERSON, NJ 07514-1353
(973) 279-8850
Mailing address
750 BROADWAY, PATERSON, NJ 07514-1353
(973) 279-8850
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA03077900
NJ
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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