Individual
DAVID PATRICK FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW INTERN
Contact information
Practice address
200 TER HEUN DR, FALMOUTH, MA 02540-2525
(508) 540-6550
Mailing address
200 TER HEUN DR, FALMOUTH, MA 02540-2525
(508) 524-9370
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100049432022
—
MA
Enumeration date
01/03/2023
Last updated
01/03/2023
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