Individual
BRADFORD S HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
248 PLEASANT ST, STE 1600, CONCORD, NH 03301-2588
(603) 224-2020
(603) 228-0248
Mailing address
248 PLEASANT ST, STE 1600, CONCORD, NH 03301-2588
(603) 224-2020
(603) 228-0248
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
10842
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01Y002354NH01
ANTHEM
NH
01
—
180039111
MEDICARE RR
—
05
—
30200832
—
NH
01
—
330441
CIGNA
NH
01
—
7177308
AETNA
—
Enumeration date
08/02/2005
Last updated
04/21/2020
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