Individual
JON FALCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 CATON AVE, BALTIMORE, MD 21229-5201
(410) 368-2014
(410) 368-3575
Mailing address
1 CAROLYN CT, OWINGS MILLS, MD 21117-1653
(410) 368-2014
(410) 368-3575
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D47353
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242861000
—
MD
01
—
60609101
BLUE CROSS
MD
01
—
P00196901
RAILROAD MEDICARE
MD
Enumeration date
06/12/2006
Last updated
06/03/2013
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