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1699114512
MATTHEW S FAVAZZA
NEWBURYPORT, MA
NPI
1699114512
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MA RN2276825)
Enumeration Date
2013-06-25
Last Update Date
2013-06-25
Business Address
-- MATTHEW S FAVAZZA FNP
21 HIGHLAND AVE SUITE 24
NEWBURYPORT, MA 01950-3872
Phone number: 978-462-1555
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Mailing Address
-- MATTHEW S FAVAZZA FNP
21 HIGHLAND AVE SUITE 24
NEWBURYPORT, MA 01950-3872
Phone number: 978-462-1555
Copy
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