Favetta, John R
Favetta, John R is an individual health care provider with primary practice located at 70 Ridge Rd , North Arlington NJ 07031-6318. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Favetta, John R can be contacted via phone (201) 997-2332.Contact Information
Primary practice address
70 Ridge Rd
North Arlington NJ 07031-6318
Phone: (201) 997-2332
Fax: (201) 997-6845
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 25MA03185400 | New Jersey |
Profile Details
| NPI number | 1497861090 |
|---|---|
| LBN Legal business name | Favetta, John R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Nov 27th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497861090 | NPPES |
| New Jersey | MEDICAID | 3037908 |
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