Individual
MICHELLE MARIE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
41 HIGHLAND AVE, WINCHESTER, MA 01890-1446
(781) 756-2260
Mailing address
72 E CONCORD ST # R304, BOSTON, MA 02118-2642
(617) 358-6587
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1022160
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
284456
COMMONWEALTH OF MASSACHUSETTS BORIM
MA
01
—
ETLL-971
COMMONWEALTH OF MASSACHUSETTS BORIM
MA
Enumeration date
05/26/2020
Last updated
05/28/2025
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