Provider Demographics
NPI:1114246204
Name:ARNOLD FALCHOOK MD PA
Entity Type:Organization
Organization Name:ARNOLD FALCHOOK MD PA
Other - Org Name:ARNOLD FALCHOOK MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:
Authorized Official - Last Name:FALCHOOK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-362-1166
Mailing Address - Street 1:1050 NW 15TH ST
Mailing Address - Street 2:SUITE 106A
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-1375
Mailing Address - Country:US
Mailing Address - Phone:561-362-1166
Mailing Address - Fax:561-362-1177
Practice Address - Street 1:1050 NW 15TH ST
Practice Address - Street 2:SUITE 106A
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-1375
Practice Address - Country:US
Practice Address - Phone:561-362-1166
Practice Address - Fax:561-362-1177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-27
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL41840207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD82626Medicare UPIN
FL94269AMedicare PIN