Individual
DR. DANA P. HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 JEFFERSON BLVD, SUITE# 305, WARWICK, RI 02888-3888
(401) 739-7546
(401) 739-7544
Mailing address
300 JEFFERSON BLVD, SUITE# 305, WARWICK, RI 02888-3888
(401) 739-7546
(401) 739-7544
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
11167
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007057497
PTAN
RI
01
—
079024192
MEDICARE PTAN- INDIVIDUAL
RI
05
—
9024192
—
RI
Enumeration date
05/03/2006
Last updated
11/13/2013
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