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NPI Code Detail

MEDICARE: DR. ROBERT J FALLON D.C.

MEDICARE: DR. ROBERT J FALLON 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
1111N00000XChiropractorMC02101NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2P2748913OTHERNJOXFORD

General Provider Information

NPI Number : 1285611855
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT J FALLON D.C.
Provider Business Mailing Address
First Line : 1814 E 2ND ST
Second Line :
City : SCOTCH PLAINS
State : NJ
Zip : 07076-1751
Country : US
Telephone Number : 908-322-6611
Fax Number : 908-226-3001
Provider Business Practice Location Address
First Line : 1814 E 2ND ST
Second Line :
City : SCOTCH PLAINS
State : NJ
Zip : 07076-1751
Country : US
Telephone Number : 908-322-6611
Fax Number : 908-226-3001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2005
Last Update Date : 07/08/2007

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