Individual
DR. JENNIFER HALL DIFALCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 TORREY ST, BROCKTON, MA 02301-4800
(508) 588-1200
Mailing address
111 TORREY ST, BROCKTON, MA 02301-4800
(508) 588-1200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
79433
MA
Other
Enumeration date
03/12/2012
Last updated
02/10/2014
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