Individual
MR. MICHAEL JEROME HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
8600 OLD GEORGETOWN RD, BETHESDA, MD 20814-1422
(301) 896-3820
Mailing address
1704 IMPERIAL DR, SILVER SPRING, MD 20902-3954
(301) 649-1378
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
CO1113
MD
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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