Fava, Maurizio
Fava, Maurizio is an individual health care provider with primary practice located at 55 Fruit St Bulfinch 351, Massachusetts General Hospital, Boston MA 02114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Fava, Maurizio can be contacted via phone (617) 724-0838.Contact Information
Primary practice address
55 Fruit St Bulfinch 351, Massachusetts General Hospital
Boston MA 02114
Phone: (617) 724-0838
Fax: (617) 726-2688
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 59460 | Massachusetts |
Profile Details
| NPI number | 1700858123 |
|---|---|
| LBN Legal business name | Fava, Maurizio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Sep 21st, 2018 - about 8 years ago |
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 | 1700858123 | NPPES |
| Massachusetts | Other | 724726 | TUFTS HEALTH PLAN |
| Massachusetts | Other | J14644 | TUFTS HEALTH PLAN |
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