Individual
DR. THEODORE FALK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
63 GRAND AVE, STE 100, RIVER EDGE, NJ 07661
(201) 487-2900
(201) 487-1022
Mailing address
63 GRAND AVE, STE 100, RIVER EDGE, NJ 07661
(201) 487-2900
(201) 487-1022
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
1375261
NY
207K00000X
Allergy & Immunology Physician
Primary
MA40562
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0910406
—
NJ
Enumeration date
03/27/2006
Last updated
07/08/2007
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