MICHAEL ANTHONY FAVATA

CAMP LEJEUNE, NC
NPI1275507741
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207ZP0102X Pathology Anatomic Pathology & Clinical Pathology
(Licence: DE  C2-0005222)
Enumeration Date2006-02-14
Last Update Date2012-09-05
Business Address
DR. MICHAEL ANTHONY FAVATA DO
100 BREWSTER BLVD NAVAL HOSPITAL
CAMP LEJEUNE, NC 28547-2538
Phone number: 910-450-4159
Mailing Address
DR. MICHAEL ANTHONY FAVATA DO
100 BREWSTER BLVD NAVAL HOSPITAL
CAMP LEJEUNE, NC 28547-2538
Phone number: 910-450-4159
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