Provider Demographics
NPI:1043345242
Name:FALLON, JILL CURRAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JILL
Middle Name:CURRAN
Last Name:FALLON
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Gender:F
Credentials:MD
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Mailing Address - Street 1:71 ADDISON DR
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-2201
Mailing Address - Country:US
Mailing Address - Phone:973-548-5188
Mailing Address - Fax:908-647-7829
Practice Address - Street 1:THE PRUDENTIAL INSURANCE COMPANY OF AMERICA
Practice Address - Street 2:290 W MT. PLEASANT AVENUE
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039
Practice Address - Country:US
Practice Address - Phone:973-548-5188
Practice Address - Fax:973-548-7690
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NJMA 296622083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine