Individual
PHILLIP M FALKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 569-5800
(617) 568-4780
Mailing address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 569-5800
(617) 568-4780
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
44729
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
436521
HPHC
MA
05
—
6167888
—
MA
01
—
773244
TUFTS
MA
01
—
L02018
BCBS
MA
Enumeration date
11/10/2005
Last updated
02/14/2017
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