Individual
CAROLYN L FALLICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
41 MONTVALE AVE, HALLMARK HEALTH HEMATOLOGY & ONCOLOGY CENTER, STONEHAM, MA 02180-2445
(781) 224-5810
(781) 224-5813
Mailing address
41 MONTVALE AVE, HALLMARK HEALTH HEMATOLOGY & ONCOLOGY CENTER, STONEHAM, MA 02180-2445
(781) 224-5810
(781) 224-5813
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
143363
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1200992
—
MA
Enumeration date
11/04/2005
Last updated
04/05/2013
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