Individual
DR. GERALD JACOB LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
290 FERRY ST, A1, NEWARK, NJ 07105-3475
(973) 344-5656
(973) 344-5633
Mailing address
290 FERRY ST, A1, NEWARK, NJ 07105-3475
(973) 344-5656
(973) 344-5633
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00671700
NJ
Other
Enumeration date
03/23/2009
Last updated
02/04/2013
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