Individual
DR. PAUL JOHN LAFERGOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
387 W BLACKWELL ST, DOVER, NJ 07801-2520
(973) 366-7676
(973) 442-1300
Mailing address
15 ALVIN SLOAN AVE, WASHINGTON, NJ 07882-4170
(973) 366-7676
(973) 442-1300
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MD01918
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0818402
—
NJ
Enumeration date
06/17/2005
Last updated
08/09/2010
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