Fava, Maurizio

Fava, Maurizio is an individual health care provider with primary practice located at 55 Fruit St Bulfinch 351, Massachusetts General Hospital, Boston MA 02114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Fava, Maurizio can be contacted via phone (617) 724-0838.

Contact Information

Primary practice address
55 Fruit St Bulfinch 351, Massachusetts General Hospital Boston MA 02114
Phone: (617) 724-0838
Fax: (617) 726-2688
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 59460 Massachusetts

Profile Details

NPI number 1700858123
LBN Legal business name Fava, Maurizio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Sep 21st, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700858123 NPPES
Massachusetts Other 724726 TUFTS HEALTH PLAN
Massachusetts Other J14644 TUFTS HEALTH PLAN

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