Individual
ALLAN JEFFREY FALESCKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103
(856) 342-2000
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA04507700
NJ
207R00000X
Internal Medicine Physician
1572601
NY
207R00000X
Internal Medicine Physician
25MA04507700
NJ
208M00000X
Hospitalist Physician
Primary
25MA04507700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0241253
—
NJ
01
—
P01064669
RAILROAD MEDICARE
NJ
Enumeration date
08/17/2006
Last updated
11/20/2019
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