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Individual

JONATHAN DAVID HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
86 THOMAS JOHNSON CT, FREDERICK, MD 21702-4348
(301) 694-8311
(301) 694-3537
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
104052
NC
363A00000X
Physician Assistant
Primary
C0003856
MD
363A00000X
Physician Assistant
MA054762
PA

Other

Enumeration date
09/14/2006
Last updated
06/22/2026
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