| NPI | 1013972546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY LANE President 856-235-2651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NJ 25MA02538600) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2011-11-23 |