-- ELISSA ANN FAVATA -- MD
Individual Provider (NPI-1)
Active
Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine
Provider Information
- NPI Number
1619039971- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 1401 ROUTE 70 EAST, SUITE 14 SOUTH JERSEY MEDICAL CENTER, CHERRY HILL, NJ, 08034
- Phone
- (856) 216-1100
- Fax
- (856) 216-0484
Specialties & Taxonomies
Internal Medicine
License: NJ #25MA04036200
Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine
Primary License: NJ #25MA04036200
Internal Medicine
License: PA #MD046205L
Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine
License: PA #MD046205L
Internal Medicine
License: DE #C1-0004751
Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine
License: DE #C1-0004751
All Addresses
MAILING
1401 ROUTE 70 EAST, SUITE 14 SOUTH JERSEY MEDICAL CENTER
CHERRY HILL, NJ, 08034
LOCATION
1401 ROUTE 70 EAST, SUITE 14 SOUTH JERSEY MEDICAL CENTER
CHERRY HILL, NJ, 08034