Individual
DR. LAVINIA PAIGE MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
323 BELLEVILLE AVENUE, BLOOMFIELD, NJ 07003
(973) 429-1010
(973) 429-1199
Mailing address
27 KNOLL TERRACE, WEST CALDWELL, NJ 07006-7307
(973) 575-4339
(973) 575-5725
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MB69110
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8289701
—
NJ
Enumeration date
08/31/2006
Last updated
04/13/2012
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