person
Mr. Louis Patrick Favata, PA-C
Medical Physician Assistant in Springfield, Massachusetts
NPI 1518947159

Louis Patrick Favata is a Medical Physician Assistant based in Springfield, MA and is specialized in Medical. Louis Patrick Favata practices in Springfield, MA and has the professional credentials of PA-C. The NPI Number for Louis Patrick Favata is 1518947159 and holds a License No. 1505 (Massachusetts).

The current practice location address for Louis Patrick Favata is 140 High St., Springfield, MA and can be reached out via phone at 413-794-2511 and via fax at 413-794-2272.

Location: 140 High St., Springfield, MA, 01199
person
Provider Profile Details
NPI Number
1518947159
Provider Name
Louis Patrick Favata
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
140 High St., Springfield, MA, 01199
Phone Number
413-794-2511
Fax Number
413-794-2272
Provider Enumeration Date
01/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1505 01 MA LIC
institution
Provider Business Practice Location Address Details
Address
140 High St.
City
State
Zip
01199
Phone Number
413-794-2511
Fax Number
413-794-2272
person
Provider Business Mailing Address Details
Address
140 High St.
City
State
Zip
01199
Phone Number
413-794-2511
Fax Number
413-794-2272
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1505 (Massachusetts)
Definition
Definition to come...
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