NPI 1013972546

Allergy Asthma and Immunology Management PA

Organisation Allergy & Immunology Physician Moorestown, NJ

Practice location

Address: 701 E Main Street Victoria Medical Arts Bldg, Moorestown, NJ 08057
Phone: (856) 235-2651
Fax: (856) 231-1005

Authorised official

Name: Stanley Lane
Title: President
Phone: (856) 235-2651

Registered specialties

Allergy & Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 25MA02538600 (NJ)

Other Allergy & Immunology providers in New Jersey →

Registry record

NPI: 1013972546
Entity type: Organization
NPI issued: 18 Apr 2006
Record last updated: 23 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.