Individual
DR. JOHN W. HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
49 SPRING ST, 1ST FLOOR, SCARBOROUGH, ME 04074-8926
(207) 885-0011
(207) 885-5851
Mailing address
190 RIVERSIDE ST, SUITE 6B, PORTLAND, ME 04103-1073
(207) 661-2000
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
016009
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187870099
—
ME
05
—
30209639
—
NH
Enumeration date
11/07/2005
Last updated
04/26/2017
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