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1295981710
MARK A FAVA
BROOKLINE, MA
NPI
1295981710
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: MA 237987)
Enumeration Date
2008-08-15
Last Update Date
2008-08-15
Business Address
MARK A FAVA M.D.
1101 BEACON STREET SUITE 6 WEST
BROOKLINE, MA 02446
Phone number: 617-566-0062
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Mailing Address
MARK A FAVA M.D.
1101 BEACON STREET SUITE 6 WEST
BROOKLINE, MA 02446
Phone number: 617-566-0062
Copy
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