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Individual

HONORA H FAVORITO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2139 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 585-7600
Mailing address
PO BOX 631104, CINCINNATI, OH 45263-1104
(800) 365-3744

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35077958
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000077459
ANTHEM
OH
05
200406060
KY
05
2174776
OH
01
220028806
RAILROAD MEDICARE
05
64010994
KY
Enumeration date
10/17/2005
Last updated
06/03/2014
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