# JOSEPH J FALLON JR MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164443206
- **Authorized official:** DR. JOSEPH JAMES FALLON JR. M.D. (PRESIDENT)
- **Authorized official phone:** (856) 853-1288

## Contact information

- **Practice address:** 603 N BROAD ST, SUITE 200, WOODBURY, NJ 08096-1619
- **Practice address phone:** (856) 853-1111
- **Practice address fax:** (856) 853-1288
- **Mailing address:** 603 N BROAD ST, SUITE 200, WOODBURY, NJ 08096-1619
- **Mailing address phone:** (856) 853-1111
- **Mailing address fax:** (856) 853-1288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/22/2006
- **Last updated:** 09/26/2007
