Individual
DR. JONATHAN M FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., M.S.
Contact information
Practice address
4 WEST ST, WEST HATFIELD, MA 01088-9515
(413) 586-8200
(413) 582-1460
Mailing address
4 WEST ST, WEST HATFIELD, MA 01088-9515
(413) 586-8200
(413) 582-1460
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
235996
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2155401
—
MA
Enumeration date
05/23/2007
Last updated
02/09/2011
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