Individual provider · Type 1 NPI
Elissa Ann Favata, MD
Preventive Medicine/Occupational Environmental Medicine Physician · Cherry Hill, NJ
Practice location
1401 Route 70 East, Suite 14, South Jersey Medical Center
Cherry Hill, NJ 08034
Fax (856) 216-0484
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA04036200 (NJ) |
| Preventive Medicine/Occupational Environmental Medicine Physician Primary | 2083P0500X | 25MA04036200 (NJ) |
| Internal Medicine Physician | 207R00000X | MD046205L (PA) |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | MD046205L (PA) |
| Internal Medicine Physician | 207R00000X | C1-0004751 (DE) |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | C1-0004751 (DE) |
Preventive Medicine/Occupational Environmental Medicine Physician: A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
About NPI 1619039971
Elissa Ann Favata, MD's National Provider Identifier is 1619039971, issued on Dec 14, 2006. The primary taxonomy on file is Preventive Medicine/Occupational Environmental Medicine Physician (2083P0500X), and the practice location is in Cherry Hill, NJ. The record was last updated on Jul 11, 2007.