Individual
PATRICK HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 N BROAD ST, WOODBURY, NJ 08096-1795
(856) 856-5750
(856) 283-2046
Mailing address
660 WHITE PLAINS RD FL 4, TARRYTOWN, NY 10591-5187
(914) 333-5801
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
25MA05930900
NJ
207YS0123X
Facial Plastic Surgery Physician
25MA5930900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5642507
—
NJ
Enumeration date
07/29/2005
Last updated
02/20/2025
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