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Organization

JOSEPH J FALLON JR MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH JAMES FALLON JR. M.D. (PRESIDENT)
(856) 853-1288
Entity
Organization

Contact information

Practice address
603 N BROAD ST, SUITE 200, WOODBURY, NJ 08096-1619
(856) 853-1111
(856) 853-1288
Mailing address
603 N BROAD ST, SUITE 200, WOODBURY, NJ 08096-1619
(856) 853-1111
(856) 853-1288

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110012275
MEDICARE RAILROAD
05
3301303
NJ
01
460000828
MEDICARE RAILROAD
Enumeration date
07/22/2006
Last updated
09/26/2007
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