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Individual

ROBERTA M. FALKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-5950
(617) 421-6008
Mailing address
147 MILK ST, PROVIDER ENROLLMENT 9TH FLOOR, BOSTON, MA 02109-4806
(617) 421-2508

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
80056
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0014961
NEIGHBORHOOD HEALTH PLAN
MA
05
0144185
MA
01
4291399-001
CIGNA
MA
01
C04913
BLUE CROSS
MA
01
PM596
HARVARD PILGRIM
MA
Enumeration date
09/20/2006
Last updated
06/07/2011
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