Favata, Elissa Ann

Favata, Elissa Ann is an sole proprietor health care provider with primary practice located at 1401 Route 70 East, Suite 14 South Jersey Medical Center, Cherry Hill NJ 08034. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine. Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine is her primary health care specialty. Favata, Elissa Ann can be contacted via phone (856) 216-1100.

Contact Information

Primary practice address
1401 Route 70 East, Suite 14 South Jersey Medical Center Cherry Hill NJ 08034
Phone: (856) 216-1100
Fax: (856) 216-0484
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA04036200 New Jersey
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine 2083P0500X 25MA04036200 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD046205L Pennsylvania
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine 2083P0500X MD046205L Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C1-0004751 Delaware
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine 2083P0500X C1-0004751 Delaware

Profile Details

NPI number 1619039971
LBN Legal business name Favata, Elissa Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2006
Last updated Jul 11th, 2007 - 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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