| NPI | 1720017528 |
|---|---|
| Former Legal Business Name | FALLON CLINIC |
| Entity Type | Organization |
| Authorized Contact | TAREK ELSAWY CEO 508-852-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RR0500X Internal Medicine, Rheumatology | |
| 208000000X Pediatrics | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2018-10-18 |