Fava, Mark A

Fava, Mark A is an individual health care provider with primary practice located at 1101 Beacon Street Suite 6 West, Brookline MA 02446. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Fava, Mark A can be contacted via phone (617) 566-0062.

Contact Information

Primary practice address
1101 Beacon Street Suite 6 West Brookline MA 02446
Phone: (617) 566-0062
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 237987 Massachusetts

Profile Details

NPI number 1295981710
LBN Legal business name Fava, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2008
Last updated Aug 15th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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