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Individual
MARIBETH WALLACE HALL
Active
Individual
MARIBETH WALLACE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
146398
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0381110
MEDICAID/WELFARE
—
01
—
042472256
PRIVATE HEALTHCARE SYSTEM
—
01
—
04247226
ONE HEALTH PLAN
—
01
—
042472266
HEALTHCARE VALUE MNGMENT
—
01
—
042472266039
TRICARE/CHAMPUS
—
01
—
2045900
FIRST HEALTH
—
01
—
420000565
RAILROAD MEDICARE
—
01
—
47094
CHILDRENS MED SECURITY PL
—
01
—
61227
FALLON COMMUNITY HLTH PL
—
01
—
7956635
AETNA/US HEALTHCARE
—
01
—
9713805001
CIGNA HEALTH PLAN
—
01
—
AA3471
HARVARD PILGRIM HEALTHCAR
—
01
—
CN0154
BLUE SHIELD HMO BLUE
—
01
—
RN0029
MEDICARE B
—
Enumeration date
11/10/2005
Last updated
03/04/2009
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