Organization
J. ANDREW HALLBERG, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A HALLBERG M.D. (OWNER)
(860) 536-0773
Entity
Organization
Contact information
Practice address
56 WHITEHALL AVE, SUITE A, MYSTIC, CT 06355-1967
(860) 536-0773
(860) 536-1068
Mailing address
56 WHITEHALL AVE, SUITE A, MYSTIC, CT 06355-1967
(860) 536-0773
(860) 536-1068
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
029044
CT
Other
Enumeration date
03/22/2007
Last updated
08/22/2020
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