Organization
FELICITO L. FALLER, M.D. INC
Active
Other names
Felicito L. Faller, M.D. Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FELICITO L FALLER MD (OWNER PROPRIETOR)
(781) 321-3470
Entity
Organization
Contact information
Practice address
218 UPHAM ST, MELROSE, MA 02176-3549
(617) 755-0621
Mailing address
17 WALNUT ST, MALDEN, MA 02148-7028
(781) 321-3470
(781) 322-1139
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
32598
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9738738
—
MA
Enumeration date
02/19/2008
Last updated
11/03/2020
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