Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 25MA08915300 | NJ |
N | 207XS0117X | Orthopaedic Spine Surgeon | NY260541 | NY |
NPI | 1043420136 |
---|---|
Provider Name | Michael Faloon |
First Address | Wayne, NJ 07470-3534 |
Second Address | Hoboken, NJ 07030-4439 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 28/12/2012 |