Individual
DR. MARCUS FAVERO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT STREET, BLK 11 PSYCHIATRY ASSOCIATES INPATIENT CONSULT, BOSTON, MA 02114-2696
(617) 724-9144
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
213841
MA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
213841
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2060795
—
MA
01
—
466511
TUFTS HEALTH PLAN
MA
01
—
J27443
BCBS MA
MA
Enumeration date
02/13/2006
Last updated
09/11/2025
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