Individual
FERNE R LAVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2177 OAK TREE RD STE 208, EDISON, NJ 08820-1082
(732) 205-1311
(732) 205-9648
Mailing address
10 GOODALE CIR, NEW BRUNSWICK, NJ 08901-1608
(732) 545-4030
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
37420
NJ
Other
Enumeration date
09/22/2006
Last updated
12/07/2017
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