Individual
DR. PATRICK J. FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
690 MINOT AVE, STE 1, AUBURN, ME 04210-3922
(207) 783-1328
(207) 795-0260
Mailing address
690 MINOT AVE, STE 1, AUBURN, ME 04210-3922
(207) 783-1328
(207) 795-0260
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
013805
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010416156
TRAVELERS/CORE/MEDNET
—
01
—
0378600001
DMERC
—
01
—
043465
ANTHEM
—
01
—
100294000
USPS WC
—
01
—
1044480
AETNA
—
01
—
173418
HARVARD
—
01
—
200044523
RR MEDICARE
—
01
—
201017
MEDICARE ASC FACILITY
—
01
—
314430099
MAINECARE
ME
01
—
4229509
CIGNA
—
01
—
MM0716
MEDICARE CLINIC FACILITY
—
01
—
MM5833
MEDICARE
—
01
—
MM583301
NEW MEDICARE PTAN
—
Enumeration date
06/15/2005
Last updated
10/07/2011
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