| NPI | 1184812620 |
|---|---|
| Former Legal Business Name | FALLON CLINIC |
| Entity Type | Organization |
| Authorized Contact | ROBIN RICHMAN Chief Medical Officer 508-368-5561 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2012-04-05 |