| Dr Gerald Jacob Lane, DC | |
|
290 Ferry St, A1, Newark, NJ 07105-3475 | |
| (973) 344-5656 | |
| (973) 344-5633 |
| Full Name | Dr Gerald Jacob Lane |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 290 Ferry St, Newark, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508007493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 38MC00671700 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gerald Jacob Lane, DC 290 Ferry St, A1, Newark, NJ 07105-3475 Ph: (973) 344-5656 | Dr Gerald Jacob Lane, DC 290 Ferry St, A1, Newark, NJ 07105-3475 Ph: (973) 344-5656 |
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