| NPI | 1265600779 |
|---|---|
| Doing Business As | FELICITO L. FALLER, M.D. INC |
| Entity Type | Organization |
| Authorized Contact | FELICITO L FALLER Owner Proprietor 781-321-3470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MA 32598) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2020-11-03 |