DR. Theodore James Fallon JR., M.D., M.P.H.

NPI #1538384003 in Wayne, Pennsylvania

Provider Information

NPI Number: 1538384003
Entity Type: Individual
Name: DR. Theodore James Fallon JR., M.D., M.P.H.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychoanalyst
Credential: M.D., M.P.H.
Enumeration Date: Apr 17, 2007
Last Updated: Aug 7, 2020

Practice Location

Address: 1050 KING OF PRUSSIA RD
City: Wayne
State: Pennsylvania
ZIP Code: 19087-2830
Phone: (610) 827-7436

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
Psychiatry & Neurology - Child & Adolescent Psychiatry — Child & Adolescent Psychiatry	2084P0804X
Psychoanalyst	102L00000X	Primary

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