Organization
HACKETTSTOWN RADIOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAK KAN ALBERT LO MD (PRESIDENT)
(908) 850-6842
Entity
Organization
Contact information
Practice address
651 WILLOW GROVE ST, HACKETTSTOWN REGIONAL MEDICAL CENTER, HACKETTSTOWN, NJ 07840
(908) 852-5100
Mailing address
PO BOX 655, HACKETTSTOWN, NJ 07840
(908) 850-1319
(908) 850-9174
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3041701
—
NJ
Enumeration date
12/04/2006
Last updated
07/10/2008
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