Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. PATRICK JOHN FAVA JR., ATC, LAT
ActiveAthletic Trainer · NEWARK, DE
Registration Details
- NPI Number
- 1972991438
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 6, 2015 (11.290822328615 yrs)
- Last Updated
- Jan 6, 2015
- License
-
J3-0000524 (DE)
Practice Information
- Address
-
631 S COLLEGE AVEATHLETIC TRAINING ROOMNEWARK, DE, 197162010Browse DE providers · Browse ZIP 19716
- Phone
- 3028318857
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in NEWARK, DE
| Name | Credential | NPI |
|---|---|---|
| MR. JOHN JOSEPH SMITH | ATC | 1821025701 |
| PROF. CHARLES BUZ SWANIK | PHD, ATC | 1801939400 |
| MS. ANDREA MARIE DITRANI | ATC | 1881894962 |
| RUSSELL JAMES KELLY | MS, ATC | 1346430428 |
| MICHAEL PILARSKI | A.T.,C | 1033303540 |
| MISS KELLY M STAFFORD | MS, ATC | 1073843512 |
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.