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Contact Information

MICHAEL A FAVATA, DO
100 BREWSTER BLVD
NAVAL HOSPITAL
CAMP LEJEUNE, NC28547-2538
 Phone: 910-450-4159
 Fax: 910-450-4194
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for MICHAEL A FAVATA · (Male)

NPI Number 1275507741
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 02/14/2006
Last updated 09/05/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • DE License # C2-0005222
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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