Allergy Asthma and Immunology Management PA
NPI #1013972546 in Moorestown, New Jersey
Provider Information
- NPI Number
- 1013972546
- Entity Type
- Organization
- Organization Name
- Allergy Asthma and Immunology Management PA
- Primary Specialty
- Allergy & Immunology
- Enumeration Date
- Apr 18, 2006
- Last Updated
- Nov 23, 2011
Practice Location
- Address
- 701 E MAIN STREET
- Address 2
- VICTORIA MEDICAL ARTS BLDG
- City
- Moorestown
- State
- New Jersey
- ZIP Code
- 08057
- Phone
- (856) 235-2651
Authorized Official
- Name
- STANLEY LANE, MD
- Title
- PRESIDENT
- Phone
- (856) 235-2651
Specialties & Taxonomy Codes
| Specialty |
|---|
| Allergy & Immunology |
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