# FAULKNER EMERGENCY ASSOCIATES, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1558422055
- **Authorized official:** RICHARD LARSON MD (PRESIDENT)
- **Authorized official phone:** (617) 983-7132

## Contact information

- **Practice address:** 1153 CENTRE ST, JAMAICA PLAIN, MA 02130-3446
- **Practice address phone:** (617) 983-7132
- **Practice address fax:** (617) 983-7834
- **Mailing address:** 6 LAKEVILLE BUSINESS PARK, LAKEVILLE, MA 02347-1234
- **Mailing address phone:** (800) 984-9872
- **Mailing address fax:** (508) 946-1494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/12/2006
- **Last updated:** 08/22/2020