Organization
STEPHEN FALKOWSKI, DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WYNNE FALKOWSKI RN (OFFICER/PRACTICE ADMINISTRATOR)
(856) 985-4600
Entity
Organization
Contact information
Practice address
12000 LINCOLN DR W, SUITE 309, MARLTON, NJ 08053-3402
(856) 985-4600
(856) 985-9844
Mailing address
12000 LINCOLN DR W, SUITE 309, MARLTON, NJ 08053-3402
(856) 985-4600
(856) 985-9844
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB03338900
NJ
207QG0300X
Geriatric Medicine (Family Medicine) Physician
25MB03338900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1425609
—
NJ
Enumeration date
08/07/2007
Last updated
08/07/2007
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