Organization
FITCHBURG STATE COLLEGE- HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA FAVRE FNP (DIRECTOR OF HEALTH SERVICES)
(978) 665-3216
Entity
Organization
Contact information
Practice address
160 PEARL ST, FITCHBURG STATE COLLEGE -HEALTH SERVICES, FITCHBURG, MA 01420-2631
(978) 665-3216
(978) 665-3641
Mailing address
160 PEARL ST, FITCHBURG STATE COLLEGE -HEALTH SERVICES, FITCHBURG, MA 01420-2631
(978) 665-3216
(978) 665-3641
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
164930
MA
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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