Most Relevant Information
Provider Data
| NPI Number: | 1003811233 |
| Provider Name: | FREDERICK B LAVAN M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 208200000X |
| Specialty: | Plastic Surgery |
| License Number: | MD041474E |
Most Important Dates
| Enumeration Date: | 06/15/2005 |
| Last Updated: | 08/29/2018 |
Provider Practice Location
1007 MANTUA PIKE, SUITE B
WOODBURY
NJ
080963963
Practice Location Phone/Fax
| Phone: | 8562567705 |
| Fax: | 8562567709 |
Provider Mailing Location
1007 MANTUA PIKE, SUITE B
WOODBURY
NJ
080963963
Provider Mailing Phone/Fax
| Phone: | 8562567705 |
| Fax: | 8562567709 |