Provider Demographics
NPI:1356583256
Name:FALLS PEDIATRIC & TEEN CARE, LLP
Entity type:Organization
Organization Name:FALLS PEDIATRIC & TEEN CARE, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:DHAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-842-7415
Mailing Address - Street 1:3300 HENRY AVE
Mailing Address - Street 2:ONE FALLS CENTER
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19129-1121
Mailing Address - Country:US
Mailing Address - Phone:215-842-7415
Mailing Address - Fax:215-848-1355
Practice Address - Street 1:3300 HENRY AVE
Practice Address - Street 2:ONE FALLS CENTER
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19129-1121
Practice Address - Country:US
Practice Address - Phone:215-842-7415
Practice Address - Fax:215-848-1355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-24
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty