Healthcare Provider Details

I. General information

NPI: 1780892109
Provider Name (Legal Business Name): STEVE FALLEK MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 12/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 WALL ST W STE 360
LYNDHURST NJ
07071-3621
US

IV. Provider business mailing address

300 SYLVAN AVE STE 301
ENGLEWOOD NJ
07632-2525
US

V. Phone/Fax

Practice location:
  • Phone: 201-821-7900
  • Fax: 201-531-0550
Mailing address:
  • Phone: 201-541-4181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVE R FALLEK
Title or Position: PRESEIDENT
Credential: M.D.
Phone: 201-821-7900