Organization
AVLC ALTOONA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID C FABER M.D. (PHYSICIAN)
(814) 515-9919
Entity
Organization
Contact information
Practice address
723 BROAD ST, ROUTE 22, DUNCANSVILLE, PA 16635-9450
(814) 515-9919
(717) 741-2204
Mailing address
723 BROAD STREET, ROUTE 22, DUNCANSVILLE, PA 16635
(814) 515-9919
(717) 741-2204
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD065086L
PA
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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