Individual
DR. LANE GRUBER ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1131 BROAD ST STE 104, SHREWSBURY, NJ 07702-4329
(732) 450-0042
(732) 450-0052
Mailing address
1131 BROAD ST STE 104, SHREWSBURY, NJ 07702-4329
(732) 450-0042
(732) 450-0052
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
25MA07511800
NJ
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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