Individual
MILITZA E SUAREZ-FAVETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 KIM AVE STE 2, TUNKHANNOCK, PA 18657-9101
(570) 996-6555
(570) 996-6557
Mailing address
330 BOWMAN ST UNIT 1, WILKES BARRE, PA 18702-5448
(570) 823-5808
(570) 970-2725
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA05929800
NJ
207R00000X
Internal Medicine Physician
MD041299E
PA
207RI0200X
Infectious Disease Physician
25MA05929800
NJ
207RI0200X
Infectious Disease Physician
Primary
MD041299E
PA
Other
Enumeration date
09/21/2006
Last updated
08/07/2019
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