Lavan, Frederick B

Lavan, Frederick B is an individual health care provider with primary practice located at 1007 Mantua Pike, Suite B , Woodbury NJ 08096-3963. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Lavan, Frederick B can be contacted via phone (856) 256-7705.

Contact Information

Primary practice address
1007 Mantua Pike, Suite B Woodbury NJ 08096-3963
Phone: (856) 256-7705
Fax: (856) 256-7709
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X MD041474E Pennsylvania
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 25MA06432800 New Jersey

Profile Details

NPI number 1003811233
LBN Legal business name Lavan, Frederick B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Aug 29th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003811233 NPPES
New Jersey MEDICAID 7403305

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