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Stanley R Lane

  • Male

Medical Specialty

Professional ID

  • NPI: 1124040159
  • PECOS ID: 1759575285
  • Enrollment ID: I20101028001327
  • Credential(MD, DO, DPM):
  • Medical School: New York Medical College
  • Medical School Graduation Year: 1966

Hospital Service

  • Hospital CCN1: 310057
  • Business Name (LBN)1: Virtua Memorial Hospital Of Burlington County

Medical Practices

  • Organization Name: Allergy Asthma And Immunology Management Pa
  • Group Practice ID assigned by PECOS: 1951595487
  • Number of Group Practice member: 0

Location

  • Address1: 330 Salem Woodstown Rd
  • Address2: Suite 7
  • City: Salem
  • State: New Jersey
  • Zip Code: 08079
  • Phone Number: (856)935-8898

Location

  • Address1: 701 E Main St
  • Address2: Suite 6
  • City: Moorestown
  • State: New Jersey
  • Zip Code: 08057
  • Phone Number: (856)235-2657

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):