OrganizationActive
Allergy Asthma and Immunology Management PA
NPI 1013972546 · Allergy & Immunology Physician · Moorestown, NJ
Provider details
- NPI number
- 1013972546
- Entity type
- Organization
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stanley Lane, President(856) 235-2651
- License
- 25MA02538600 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
701 E Main Street
Victoria Medical Arts Bldg
Moorestown, NJ 08057
Phone: (856) 235-2651
Fax: (856) 231-1005
Approximate (ZIP-level) locationGet directions
Mailing address
701 E Main Street
Moorestown, NJ 08057
Registry dates
- Enumerated
- 2006-04-18
- Last updated
- 2011-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.