MEDICARE: DR. ROBERT FALCO ROBERT FALCO, D.C.

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
1	111N00000X	Chiropractor	1883	NJ

General Provider Information

NPI Number	:	1255316568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT FALCO ROBERT FALCO, D.C.

Provider Business Mailing Address
First Line	:	833 BOULEVARD E
Second Line	:
City	:	WEEHAWKEN
State	:	NJ
Zip	:	07086-7054
Country	:	US
Telephone Number	:	201-865-6941
Fax Number	:	201-865-7311

Provider Business Practice Location Address
First Line	:	833 BOULEVARD E
Second Line	:
City	:	WEEHAWKEN
State	:	NJ
Zip	:	07086-7054
Country	:	US
Telephone Number	:	201-865-6941
Fax Number	:	201-865-7311

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2005
Last Update Date	:	07/08/2007

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