# MARITA FALLORINA LLC FALLORINA MARITA M SINGLE MEMBER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Marita M Fallorina MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053417642
- **Authorized official:** MARITA MAPUA FALLORINA MD (PHYSICIAN)
- **Authorized official phone:** (302) 322-6847

## Contact information

- **Practice address:** 1 CATHERINE ST, STE 1, NEW CASTLE, DE 19720-3001
- **Practice address phone:** (302) 322-6847
- **Practice address fax:** (302) 322-6909
- **Mailing address:** 1 CATHERINE ST, STE 1, NEW CASTLE, DE 19720-3001
- **Mailing address phone:** (302) 322-6847
- **Mailing address fax:** (302) 322-6847

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | C10000755 | DE | Yes |
| 208000000X | Pediatrics Physician | C10000755 | DE | — |

## Other

- **Enumeration date:** 09/15/2006
- **Last updated:** 12/23/2010
