Individual
DR. WILLIAM ELLIS FALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 PARKMAN ST, PSYCHIATRY OUTPATIENT DEPARTMENT WAC 812, BOSTON, MA 02114-3117
(617) 726-5600
(617) 726-7541
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-5600
(617) 726-2000
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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