Fallick, Mark L
Fallick, Mark L is an individual health care provider with primary practice located at 2401 E Evesham Rd Suite F, Voorhees NJ 08043-9590. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Fallick, Mark L can be contacted via phone (856) 673-1615.Contact Information
Primary practice address
2401 E Evesham Rd Suite F
Voorhees NJ 08043-9590
Phone: (856) 673-1615
Fax: (856) 424-7621
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 25MA06766600 | New Jersey |
Profile Details
| NPI number | 1245297837 |
|---|---|
| LBN Legal business name | Fallick, Mark L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Jun 23rd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245297837 | NPPES |
| New Jersey | MEDICAID | 7814402 |
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