LOUIS PATRICK FAVATA

SPRINGFIELD, MA
NPI1518947159
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: MA  1505)
Enumeration Date2006-01-19
Last Update Date2010-03-03
Business Address
MR. LOUIS PATRICK FAVATA PA-C
140 HIGH ST.
SPRINGFIELD, MA 01199
Phone number: 413-794-2511
Mailing Address
MR. LOUIS PATRICK FAVATA PA-C
280 CHESTNUT ST.
SPRINGFIELD, MA 01199
Phone number: 413-794-5700
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