Individual
DR. ROGER CHARLES HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
89 HOSPITAL ST, SUITE 1, AUGUSTA, ME 04330-6651
(207) 622-6193
(207) 621-0602
Mailing address
203 HANNAFORD HILL RD, VASSALBORO, ME 04989-4217
(207) 622-6193
(207) 621-0602
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
009795
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127260000
—
ME
Enumeration date
03/15/2007
Last updated
07/09/2007
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