Individual
SARA FAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5127
(401) 444-3056
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5127
(401) 444-3056
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
LP05613
RI
Other
Enumeration date
06/01/2022
Last updated
04/25/2024
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