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Individual
DR. PETER FAVINI
Active
Individual
DR. PETER FAVINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD031795E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000963690003
—
PA
01
—
930092699
RAILROAD MEDICARE
PA
01
—
FA108883
BLUE SHIELD
PA
Enumeration date
05/26/2006
Last updated
06/26/2014
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