Organization Name: | FELICITO L. FALLER, M.D. INC |
NPI Number: | 1265600779 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FELICITO L FALLER (OWNER PROPRIETOR) |
Mailing Address: | 17 Walnut St Malden |
State: | MA US |
Postal Code: | 021487028 |
Phone Number: | 7813213470 |
Fax Number: | 7813221139 |
NPI Enumeration Date: | 02/19/2008 |
NPI Last Update Date: | 09/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 32598 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |