Healthcare Provider Details

I. General information

NPI: 1306070867
Provider Name (Legal Business Name): ROBERT EDWARD FALCONE M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2009
Last Update Date: 05/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 E LAFAYETTE ST
COLUMBUS OH
43215-2948
US

IV. Provider business mailing address

150 E. LAFAYETTE ST.
COLUMBUS OH
43215-2948
US

V. Phone/Fax

Practice location:
  • Phone: 614-226-3206
  • Fax:
Mailing address:
  • Phone: 614-226-3206
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License Number35041060
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: