Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL ANTHONY FAVATA, DO
Active Sole ProprietorDR. MICHAEL ANTHONY FAVATA, DO is a Anatomic Pathology & Clinical Pathology healthcare provider located in CAMP LEJEUNE, North Carolina. NPI 1275507741 is currently active in the NPPES registry. Verify at CMS.
Anatomic Pathology & Clinical Pathology · CAMP LEJEUNE, NC
Registration Details
- NPI Number
- 1275507741
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 14, 2006 (20.513671290189 yrs)
- Last Updated
- Sep 5, 2012
- License
-
C2-0005222 (DE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 BREWSTER BLVDNAVAL HOSPITALCAMP LEJEUNE, NC, 285472538Browse NC providers · Browse ZIP 28547
- Phone
- 9104504159
- Fax
- 9104504194
- Primary Specialty
-
Anatomic Pathology & Clinical Pathology
207ZP0102X
Other Anatomic Pathology & Clinical Pathology Providers in CAMP LEJEUNE, NC
| Name | Credential | NPI |
|---|---|---|
| TIMOTHY CLIFFTON SORRELLS | M.D. | 1801876263 |
| MARIA BELINDA MAGBANUA RAMOS | D.O. | 1114998002 |
| JONATHAN STRAIN | MD | 1760721526 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.