Provider Demographics
NPI:1003955923
Name:FALLON & HORAN DO INC
Entity Type:Organization
Organization Name:FALLON & HORAN DO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:H
Authorized Official - Last Name:FALLON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:401-467-3350
Mailing Address - Street 1:1592 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02905-4130
Mailing Address - Country:US
Mailing Address - Phone:401-467-3350
Mailing Address - Fax:
Practice Address - Street 1:1592 BROAD ST
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02905-4130
Practice Address - Country:US
Practice Address - Phone:401-467-3350
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty