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Individual

DR. THEODORE JAMES FALLON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., M.P.H.

Contact information

Practice address
1050 KING OF PRUSSIA RD, WAYNE, PA 19087-2830
(610) 827-7436
(610) 827-7436
Mailing address
PO BOX 81, CHESTER SPRINGS, PA 19425-0081
(610) 827-7436
(610) 827-0962

Taxonomy

Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
MD028700E
PA
207R00000X
Internal Medicine Physician
MD028700E
PA
2084P0800X
Psychiatry Physician
MD028700E
PA
2084P0804X
Child & Adolescent Psychiatry Physician
MD028700E
PA

Other

Enumeration date
04/17/2007
Last updated
08/07/2020
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