Individual
ANDREW ROBERT HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 S VAN BRUNT ST, 3RD FLOOR, ENGLEWOOD, NJ 07631-4604
(201) 569-2770
(201) 808-6786
Mailing address
401 S VAN BRUNT ST, 3RD FLOOR, ENGLEWOOD, NJ 07631-4604
(201) 569-2770
(201) 808-6786
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA09836600
NJ
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
25MA09836600
NJ
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
53918
CO
208VP0014X
Interventional Pain Medicine Physician
DR0053918
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0320820 NON-BILLING
—
NJ
05
—
21530343
—
CO
Enumeration date
01/26/2010
Last updated
10/02/2024
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