Individual
DR. KENNETH RONALD FALCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 FRANCIS ST, BOSTON, MA 02215-5501
(617) 632-8623
(617) 632-9199
Mailing address
110 FRANCIS ST, BOSTON, MA 02215-5501
(617) 632-8623
(617) 632-9199
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
34692
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2005204
—
MA
Enumeration date
12/14/2005
Last updated
04/13/2011
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