Individual
BENJAMIN ANDREW FALFAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
966 N MARKET ST, LISBON, OH 44432-9363
(330) 424-1468
Mailing address
966 N MARKET ST, LISBON, OH 44432-9363
(330) 424-1468
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171633
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171633
—
OH
Enumeration date
09/30/2019
Last updated
09/30/2019
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