Individual
THOMAS HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
230 N BROAD ST, PHILADELPHIA, PA 19102-1121
(215) 762-7922
(215) 762-8656
Mailing address
1500 MARKET ST, 24TH FLOOR-WEST TOWER, PHILADELPHIA, PA 19102-2100
(215) 255-3828
(215) 255-3577
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN521937L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3056444
AETNA CONTRACT
PA
01
—
7165474
CIGNA
PA
Enumeration date
07/17/2006
Last updated
05/16/2014
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