Joanne Sylvia Lane, DO | |
651 High St, Burlington, NJ 08016-2737 | |
(609) 386-0775 | |
(609) 386-4372 |
Full Name | Joanne Sylvia Lane |
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Gender | Female |
Speciality | Pediatrics |
Location | 651 High St, Burlington, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831459080 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25MB11177000 (New Jersey) | Primary |
208000000X | Pediatrics | 0102204108 (Virginia) | Secondary |
Entity Name | Southern Jersey Family Medical Centers, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568473973 PECOS PAC ID: 0547170763 Enrollment ID: O20040917000774 |
Mailing Address | Practice Location Address |
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Joanne Sylvia Lane, DO 1 N White Horse Pike, Hammonton, NJ 08037-1875 Ph: (609) 567-0434 | Joanne Sylvia Lane, DO 651 High St, Burlington, NJ 08016-2737 Ph: (609) 386-0775 |
Dr. John Hickey, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2006 Salem Rd, Burlington, NJ 08016 Phone: 609-877-1500 Fax: 609-877-4262 | |
Dr. Jodi Liebman Berg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2006 Salem Rd, Burlington, NJ 08016 Phone: 609-877-1500 Fax: 609-877-4262 | |
Dr. Stephen Niedzwiecki, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2006 Salem Rd, Burlington, NJ 08016 Phone: 609-877-1500 Fax: 609-877-4262 | |
Dr. Esther Martinez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2006 Salem Rd, Burlington, NJ 08016 Phone: 609-877-1500 Fax: 609-877-4262 | |
Dr. Carolyn Gould, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2006 Salem Rd, Burlington, NJ 08016 Phone: 609-877-1500 Fax: 609-877-4262 | |
Dr. T.j. Horten, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2006 Salem Rd, Burlington, NJ 08016 Phone: 609-877-1500 Fax: 609-877-4262 |