Provider Demographics
NPI:1255316568
Name:FALCO, ROBERT (ROBERT FALCO, DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:FALCO
Suffix:
Gender:M
Credentials:ROBERT FALCO, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 BOULEVARD E
Mailing Address - Street 2:
Mailing Address - City:WEEHAWKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07086-7054
Mailing Address - Country:US
Mailing Address - Phone:201-865-6941
Mailing Address - Fax:201-865-7311
Practice Address - Street 1:833 BOULEVARD E
Practice Address - Street 2:
Practice Address - City:WEEHAWKEN
Practice Address - State:NJ
Practice Address - Zip Code:07086-7054
Practice Address - Country:US
Practice Address - Phone:201-865-6941
Practice Address - Fax:201-865-7311
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1883111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor