Individual
BRIAN PATRICK FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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