Individual
REBECCA MCLANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
238 E BROADWAY, SALEM, NJ 08079-1108
(856) 935-7711
(856) 935-9123
Mailing address
1 N WHITE HORSE PIKE, HAMMONTON, NJ 08037-1875
(609) 567-0200
(609) 567-1169
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA08932700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0270121
—
NJ
Enumeration date
02/08/2006
Last updated
12/11/2019
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