Individual
DR. EMMANUELLE SARAH FAVILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-3274
Mailing address
3601 A ST, PHILADELPHIA, PA 19134-1043
(407) 484-3851
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MT204622
PA
2080P0202X
Pediatric Cardiology Physician
Primary
MT204622
PA
Other
Enumeration date
06/02/2013
Last updated
07/21/2022
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