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1295975951
MICHAEL RYAN FAVAZZA
OAKLAND, CA
NPI
1295975951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA A106010)
Enumeration Date
2009-02-20
Last Update Date
2021-12-06
Business Address
Dr. MICHAEL RYAN FAVAZZA M.D.
747 52ND ST
OAKLAND, CA 94609-1809
Phone number: 510-428-3000
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Mailing Address
Dr. MICHAEL RYAN FAVAZZA M.D.
747 52ND ST
OAKLAND, CA 94609-1809
Phone number: 510-428-3000
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