Individual
MICHAEL HALLOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
BROAD AND VINE ST S, MS 206, PHILADELPHIA, PA 19102
(215) 762-1808
(215) 762-2350
Mailing address
BROAD AND VINE ST S, MS 206, PHILADELPHIA, PA 19102
(215) 762-1808
(215) 762-2350
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD042645E
PA
Other
Enumeration date
10/21/2005
Last updated
04/14/2010
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