Organization
ENVIRONMENTAL & OCCUPATIONAL HEALTH ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELISSA ANN FAVATA (PRESIDENT)
(856) 216-1100
Entity
Organization
Contact information
Practice address
1401 ROUTE 70 E, SUITE 14, CHERRY HILL, NJ 08034-2207
(856) 216-1100
Mailing address
1401 ROUTE 70 E, SUITE 14, CHERRY HILL, NJ 08034-2207
(856) 216-1100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
253026-1
NY
207R00000X
Internal Medicine Physician
25MA04036200
NJ
207R00000X
Internal Medicine Physician
C1-0004751
DE
207R00000X
Internal Medicine Physician
MD046205L
PA
2083X0100X
Occupational Medicine Physician
253026-1
NY
2083X0100X
Occupational Medicine Physician
Primary
25MA04036200
NJ
2083X0100X
Occupational Medicine Physician
C1-0004751
DE
2083X0100X
Occupational Medicine Physician
MD046205L
PA
Other
Enumeration date
11/06/2008
Last updated
07/08/2014
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