Provider Demographics
NPI:1821047333
Name:FALK, RALPH M (MD)
Entity Type:Individual
Prefix:
First Name:RALPH
Middle Name:M
Last Name:FALK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 TECHNOLOGY DR
Mailing Address - Street 2:
Mailing Address - City:HOOKSETT
Mailing Address - State:NH
Mailing Address - Zip Code:03106-2504
Mailing Address - Country:US
Mailing Address - Phone:603-580-6009
Mailing Address - Fax:603-580-7952
Practice Address - Street 1:879 LAFAYETTE ROAD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03833
Practice Address - Country:US
Practice Address - Phone:603-929-1195
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-10
Last Update Date:2019-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH7971207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH020473740OtherGREAT WEST HEALTHCARE
NH466264OtherAETNA
NH010724YPNH01OtherANTHEM
NH110123083OtherRAILROAD MEDICARE
NH30008701Medicaid
NHAA13536OtherHARVARD PILGRIM
NH020473740OtherTRICARE
NH020473740OtherPRIVATE HEALTHCARE SYSTEM
NH020473740OtherUNITED HEALTHCARE
NH274960OtherCIGNA
NH020473740OtherHUMANA CHOICE CARE
NH020473740OtherHEALTHCARE VALUE MGMT