Doctor Name: | DR. ANDREW LOESBERG |
NPI Number: | 1063487726 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 25MA0706200 |
Business Practice Address: | 1 Dogwood Drive Annandale, NJ - 08801 |
Business Phone Number: | 9087354477 |
Business Fax Number: | 9087356532 |
Mailing Address: | P.o. Box 5388, CLINTON |
State: | NJ |
Postal Code: | 08809 |
Phone Number: | 9087354477 |
Fax Number: | 9087356532 |
NPI Enumeration Date: | 02/17/2006 |
NPI Last Update Date: | 09/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 25MA0706200 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |