Individual
ROBERT FAILLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 PELHAM PKWY S, JACOBI MEDICAL CENTER - DEPARTMENT OF MEDICINE, BRONX, NY 10461-1138
(609) 751-2125
Mailing address
1400 PELHAM PKWY S, JACOBI MEDICAL CENTER - DEPARTMENT OF MEDICINE, BRONX, NY 10461-1138
(609) 751-2125
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
142273
NY
207RC0000X
Cardiovascular Disease Physician
MA59062
NJ
207RC0000X
Cardiovascular Disease Physician
MD443958
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5520509
—
NJ
Enumeration date
05/24/2006
Last updated
03/04/2014
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