Favero, Marcus

Favero, Marcus is an individual health care provider with primary practice located at 55 Fruit Street Blk 11 Psychiatry Associates Inpatient Consult, Boston MA 02114-2696. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Favero, Marcus can be contacted via phone (617) 724-9144.

Contact Information

Primary practice address
55 Fruit Street Blk 11 Psychiatry Associates Inpatient Consult Boston MA 02114-2696
Phone: (617) 724-9144
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 213841 Massachusetts
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 213841 Massachusetts

Profile Details

NPI number 1730152463
LBN Legal business name Favero, Marcus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jul 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730152463 NPPES
Massachusetts MEDICAID 2060795
Massachusetts Other J27443
Massachusetts Other 466511

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