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NPI Code Detail

MEDICARE: LINDA A BERGIN FALLON R.N.N.P.

MEDICARE:   LINDA A BERGIN FALLON  R.N.N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WW0101XAmbulatory Women's Health Care Registered Nurse199584MA

General Provider Information

NPI Number : 1942201827
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA A BERGIN FALLON R.N.N.P.
Provider Business Mailing Address
First Line : 16 GARDNER RD
Second Line :
City : READING
State : MA
Zip : 01867-2750
Country : US
Telephone Number : 617-620-3496
Fax Number :
Provider Business Practice Location Address
First Line : 26 CITY HALL MALL
Second Line :
City : MEDFORD
State : MA
Zip : 02155-4754
Country : US
Telephone Number : 781-306-5100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 03/12/2025

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Directions to “ LINDA A BERGIN FALLON R.N.N.P.” Practice Location

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