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Individual
DR. JOHN WILLIAM HALLETT JR.
Active
Individual
DR. JOHN WILLIAM HALLETT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
27482
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274820
—
SC
01
—
CH8347
RAILROAD MEDICARE GROUP
SC
01
—
P00193529
RAILROAD MEDICARE PIN
SC
01
—
P00739551
RAILROAD MEDICARE ID-RSFPN
SC
Enumeration date
11/30/2005
Last updated
05/10/2016
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