Individual
PAMELA JEAN FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RN, ANP
Contact information
Practice address
330 BROOKLINE AVE, BETH ISRAEL DEACONESS MEDICAL CENTER, UROLOGY, RABB 4, BOSTON, MA 02215-5400
(617) 667-8903
Mailing address
784 WINTER ST, NORTH ANDOVER, MA 01845-1424
(978) 687-8490
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
190900
MA
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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