Individual
DR. PETER FAVINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1872 RIVERSIDE CIR, EASTON, PA 18045-5669
(484) 503-1200
(484) 503-1206
Mailing address
1872 RIVERSIDE CIR, EASTON, PA 18045-5669
(484) 503-1200
(484) 503-1206
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD031795E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000963690003
—
PA
01
—
930092699
RAILROAD MEDICARE
PA
01
—
FA108883
BLUE SHIELD
PA
Enumeration date
05/26/2006
Last updated
06/26/2014
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