Falla Medical Clinic, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

159344 Issued in MA

Legal business name

FALLA MEDICAL CLINIC, LLC

Practice address

54 Brigham St
New Bedford, MA 02740-2208

Phone

(508) 979-1100

Fax

(508) 979-1918

NPI assigned

Jan 11, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lois Cutter

Title

Billing Dept. Supervisor

Phone

(508) 979-1100

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260316800000",
    "number": "1831249168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 BRIGHAM ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027402208",
            "telephone_number": "508-979-1100",
            "fax_number": "508-979-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 BRIGHAM ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027402208",
            "telephone_number": "508-979-1100",
            "fax_number": "508-979-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLA MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2009-12-09",
        "status": "A",
        "authorized_official_last_name": "CUTTER",
        "authorized_official_first_name": "LOIS",
        "authorized_official_title_or_position": "BILLING DEPT. SUPERVISOR",
        "authorized_official_telephone_number": "508-979-1100"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "159344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in New Bedford, MA
• Providers in New Bedford, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.