Individual
EDWARD C. FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 S 7TH AVE, STE 135, WEST READING, PA 19611-1442
(484) 628-8108
(484) 628-8400
Mailing address
301 S 7TH AVE, STE 135, WEST READING, PA 19611-1442
(484) 628-8108
(484) 628-8400
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD-013890-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0688030
—
PA
01
—
104622GGY
MEDICARE
PA
Enumeration date
06/13/2005
Last updated
02/11/2016
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