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Individual

DR. WILLIAM ELLIS FALK

Active
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Individual

DR. WILLIAM ELLIS FALK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
37722
MA
2084P0805X
Geriatric Psychiatry Physician
Primary
37722
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
037722
TUFTS HEALTH PLAN
MA
05
2031574
MA
01
C26043
BCBS MA
MA
Enumeration date
10/31/2005
Last updated
12/18/2012
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