Provider Demographics
NPI:1770618530
Name:MOLOFF, ROBERTA M (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERTA
Middle Name:M
Last Name:MOLOFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ROBERTA
Other - Middle Name:M
Other - Last Name:LUFT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:209 LAUREL HALL
Mailing Address - Street 2:UNIVERSITY OF DELAWARE
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19716
Mailing Address - Country:US
Mailing Address - Phone:302-831-8992
Mailing Address - Fax:302-831-4258
Practice Address - Street 1:209 LAUREL HALL
Practice Address - Street 2:UNIVERSITY OF DELAWARE
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19716
Practice Address - Country:US
Practice Address - Phone:302-831-8992
Practice Address - Fax:302-831-4258
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-00031012084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry