Individual
JAMES C HALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
259 MAIN STREET, YARMOUTH, ME 04096
(207) 846-9013
(207) 523-8586
Mailing address
100 FODEN ROAD W, SUITE 203, SOUTH PORTLAND, ME 04106
(207) 828-0361
(207) 874-1483
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
013405
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014279
ANTHEM
—
01
—
0797926
AETNA
—
05
—
278010099
—
ME
Enumeration date
03/15/2006
Last updated
10/28/2010
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