Individual
MS. MARGARET G FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 GOVERNORS AVE, MEDFORD, MA 02155-1644
(781) 306-6888
(781) 306-6285
Mailing address
200 GOVERNORS AVE, MEDFORD, MA 02155-1644
(781) 306-6888
(781) 306-6285
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN272651
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN272651
MA
Other
Enumeration date
04/21/2010
Last updated
09/17/2012
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