Individual
INGRID MARGOT HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
629 WASHINGTON ST STE 2, WATERTOWN, NY 13601-4083
(315) 755-3450
(315) 755-3451
Mailing address
629 WASHINGTON ST STE 2, WATERTOWN, NY 13601-4083
(315) 755-3450
(315) 755-3451
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.098517
OH
207RR0500X
Rheumatology Physician
Primary
303908
NY
207RR0500X
Rheumatology Physician
4301104645
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2009
Last updated
09/17/2020
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