| Rebecca Mclane, MD | |
|
238 E Broadway, Salem, NJ 08079-1108 | |
| (856) 935-7711 | |
| (856) 935-9123 |
| Full Name | Rebecca Mclane |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 238 E Broadway, Salem, 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 |
|---|---|---|---|
| 1780657916 | NPI | - | NPPES |
| 0270121 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 25MA08932700 (New Jersey) | Primary |
| Entity Name | Southern Jersey Family Medical Centers, Inc |
|---|---|
| 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 |
|---|---|
| Rebecca Mclane, MD 1 Executive Dr Ste 400, Marlton, NJ 08053-4278 Ph: (609) 567-0434 | Rebecca Mclane, MD 238 E Broadway, Salem, NJ 08079-1108 Ph: (856) 935-7711 |
Dr. Barry Mitchell Berman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4 By Pass Rd, Suite 101, Salem, NJ 08079 Phone: 856-935-3582 Fax: 856-935-4382 |
Paul R Kouyoumdji, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4 By Pass Rd, Suite 101, Salem, NJ 08079 Phone: 856-935-3582 Fax: 856-935-4382 |