IndividualActive
Elissa Favata, MD
NPI 1619039971 · Preventive Medicine/Occupational Environmental Medicine Physician · Cherry Hill, NJ
Provider details
- NPI number
- 1619039971
- Entity type
- Individual
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 25MA04036200 (NJ)
Specialties & taxonomies
- Preventive Medicine/Occupational Environmental Medicine PhysicianPrimary2083P0500XLicense 25MA04036200 (NJ)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1401 Route 70 East, Suite 14
South Jersey Medical Center
Cherry Hill, NJ 08034
Phone: (856) 216-1100
Fax: (856) 216-0484
Approximate (ZIP-level) locationGet directions
Mailing address
1401 Route 70 East, Suite 14
Cherry Hill, NJ 08034
Registry dates
- Enumerated
- 2006-12-14
- Last updated
- 2007-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.