Falkoff, Phillip M

Falkoff, Phillip M is an individual health care provider with primary practice located at 10 Gove St , East Boston MA 02128-1920. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Falkoff, Phillip M can be contacted via phone (617) 569-5800.

Contact Information

Primary practice address
10 Gove St East Boston MA 02128-1920
Phone: (617) 569-5800
Fax: (617) 568-4780
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 44729 Massachusetts

Profile Details

NPI number 1134100506
LBN Legal business name Falkoff, Phillip M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Feb 14th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134100506 NPPES
Massachusetts MEDICAID 6167888
Massachusetts Other L02018
Massachusetts Other 436521
Massachusetts Other 773244

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