Individual provider · Type 1 NPI

Samuel Jude Fallon, MD

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1609579820 Active

Practice location

3400 Spruce St
Philadelphia, PA 19104-4238

Call (215) 662-9664 Map

Mailing address

221 S 12th St Apt S306
Philadelphia, PA 19107-5500

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1609579820

Samuel Jude Fallon, MD's National Provider Identifier is 1609579820, issued on Mar 24, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 24, 2023.