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Individual

DR. BARBARA G FALLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
300 KENSINGTON AVE, NEW BRITAIN, CT 06051-3916
(860) 224-6254
(860) 832-4378
Mailing address
300 KENSINGTON AVE, NEW BRITAIN, CT 06051-3999
(860) 224-6254
(860) 832-4378

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
029598
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001295981
CT
01
0029365
CIGNA PROV ID
CT
05
004062394
CT
01
010029598CT02
BCBS N BCFP PROV ID
CT
01
1255448155
GHMC GROUP NPI
CT
01
2V3633
HEALTH NET PROV ID
CT
01
367807
WELLCARE MEDICARE
CT
01
4377459
AETNA REF ID
CT
01
720988
CONNECTICARE PROV ID
CT
01
HAS407
HEALTH NET PROV ID
CT
Enumeration date
06/01/2005
Last updated
02/25/2010
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