Individual
JONATHAN L HALBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
NMRTC PORTSMOUTH, 620 JOHN PAUL JONES CIRCLE, PORTSMOUTH, VA 23708
(757) 953-2446
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-2433
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0102207283
VA
2086S0120X
Pediatric Surgery Physician
Primary
0102207283
VA
Other
Enumeration date
09/28/2009
Last updated
08/21/2025
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