Individual
ERICA J HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39 SOUTHWELL AVE, SOUTH PORTLAND, ME 04106-5316
(207) 749-4621
Mailing address
39 SOUTHWELL AVE, SOUTH PORTLAND, ME 04106-5316
(207) 749-4621
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
MT4141
ME
Other
Enumeration date
09/28/2010
Last updated
09/30/2010
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