Individual
DR. JOHN ANTHONY FALLON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
BLUE CROSS BLUE SHIELD OF MA,, 401 PARK DR., BOSTON, MA 02215-3326
(617) 246-3392
(617) 246-3817
Mailing address
36 WILDWOOD DR, LYNNFIELD, MA 01940-1333
(781) 334-6121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36815
MA
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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