Provider Demographics
NPI:1942752613
Name:JOSEPH R. FALCON JR. MD, PC
Entity Type:Organization
Organization Name:JOSEPH R. FALCON JR. MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:R
Authorized Official - Last Name:FALCON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:724-226-3900
Mailing Address - Street 1:2913 FREEPORT RD
Mailing Address - Street 2:
Mailing Address - City:NATRONA HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:15065-1907
Mailing Address - Country:US
Mailing Address - Phone:724-226-3900
Mailing Address - Fax:724-224-4004
Practice Address - Street 1:2913 FREEPORT RD
Practice Address - Street 2:
Practice Address - City:NATRONA HEIGHTS
Practice Address - State:PA
Practice Address - Zip Code:15065-1907
Practice Address - Country:US
Practice Address - Phone:724-226-3900
Practice Address - Fax:724-224-4004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-28
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty