Individual
BRIAN PATRICK FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
1015396
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110199450A
—
MA
Enumeration date
06/14/2016
Last updated
08/28/2025
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