Provider Demographics
NPI:1841467040
Name:FALCAO, PATRICIA ROSE (MD,MPH,FACOG,FASAM)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:ROSE
Last Name:FALCAO
Suffix:
Gender:F
Credentials:MD,MPH,FACOG,FASAM
Other - Prefix:DR
Other - First Name:PATRICIA
Other - Middle Name:ROSE FLEMING
Other - Last Name:FALCAO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD,MPH,FACOG,FASAM
Mailing Address - Street 1:19 PINE ST
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-1018
Mailing Address - Country:US
Mailing Address - Phone:781-444-5425
Mailing Address - Fax:
Practice Address - Street 1:19 PINE ST
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02492-1018
Practice Address - Country:US
Practice Address - Phone:781-444-5425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-15
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA42524207VG0400X, 2083A0300X, 2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty
No2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1100-385-65-AMedicaid