Timothy S Fallon MD

NPI 1205078854 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1205078854
Gender Male
Enumeration Date 03/28/2009
Last Updated 06/04/2013
Entity Type Individual
Active Over 7 years ago
Practice Location
22 BRAMHALL ST
PORTLAND ME, 04102, US
Phone (207) 662-2381
Fax
Business Location
22 BRAMHALL ST
PORTLAND ME, 04102, US
Phone (207) 662-2381
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Mr. Timothy S Fallon MD NPI is 1205078854, taxonomy code is 390200000X Timothy S Fallon MD physically located at 22 Bramhall St, Portland ME, 04102. NPI Number Timothy S Fallon MD has the Individual type.

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1205078854 NPI number is provided on an as is basis without warranty of any kind. 1205078854 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy S Fallon MD are for informational purposes only.