Most Relevant Information
Provider Data
| NPI Number: | 1003044256 |
| Provider Name: | STEPHANIE P FAVREAU M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | MD14368 |
Most Important Dates
| Enumeration Date: | 06/26/2009 |
| Last Updated: | 10/19/2020 |
Provider Practice Location
400 BALD HILL RD
SUITE 520
WARWICK
RI
028861617
Practice Location Phone/Fax
| Phone: | 4017938520 |
| Fax: | 4017938527 |
Provider Mailing Location
400 BALD HILL RD
SUITE 520
WARWICK
RI
028861617
Provider Mailing Phone/Fax
| Phone: | 4017938520 |
| Fax: | 4017938527 |
Suggested EMR
Pediatrics EMR