Provider Demographics
NPI:1619140605
Name:LAFFERTY, CAROLINE JEAN (DVM)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:JEAN
Last Name:LAFFERTY
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:J
Other - Last Name:DOUGHERTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 189
Mailing Address - Street 2:
Mailing Address - City:MANTUA
Mailing Address - State:NJ
Mailing Address - Zip Code:08051-0189
Mailing Address - Country:US
Mailing Address - Phone:856-848-0020
Mailing Address - Fax:856-468-3255
Practice Address - Street 1:111 PARKVILLE ROAD
Practice Address - Street 2:
Practice Address - City:MANTUA
Practice Address - State:NJ
Practice Address - Zip Code:08051
Practice Address - Country:US
Practice Address - Phone:856-848-0020
Practice Address - Fax:856-468-3255
Is Sole Proprietor?:No
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ29VI00506900174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian