Whalio Doctors

NPI 1003811233

Frederick B Lavan, MD

Practitioner Plastic Surgery Physician Woodbury, NJ

Practice location

Address
1007 Mantua Pike, Suite B, Woodbury, NJ 08096-3963
Phone
(856) 256-7705
Fax
(856) 256-7709

Registered specialties (2)

Plastic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 25MA06432800 (NJ)
Plastic Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence MD041474E (PA)

Registry record

NPI
1003811233
Entity type
Individual
Sex (as registered)
Male
NPI issued
15 Jun 2005
Record last updated
29 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.