Individual
CLIFTON R. HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3998 RED LION RD, PHILADELPHIA, PA 19114-1436
(215) 612-4000
(215) 807-8235
Mailing address
PO BOX 8500-6335, PHILADELPHIA, PA 19178-0001
(215) 807-8000
(215) 807-8235
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD032888E
PA
208VP0000X
Pain Medicine Physician
MD032888E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011596610001
—
PA
05
—
0011596610002
—
PA
05
—
0011596610006
—
PA
01
—
01159661-03
AMERICHOICE FRANKFORD
PA
01
—
01159661-04
AMERICHOICE TORRESDALE
PA
01
—
01159661-05
AMERICHOICE-BUCKS
PA
01
—
01697
HEALTH PARTNERS TORRES.
PA
01
—
0176915000
KEYSTONE IBC
PA
01
—
0469021
CIGNA
PA
01
—
1244467
UNITED HEALTHCARE
PA
01
—
154364
HIGHMARK BLUE SHIELD
PA
01
—
154365
PERSONAL CHOICE
PA
01
—
30002955
KEYSTONE MERCY
PA
01
—
30563
HEALTH PARTNERS FRANKFORD
PA
01
—
3056444
AETNA CONTRACT
PA
01
—
30567
HEALTH PARTNERS BUCKS
PA
Enumeration date
07/20/2006
Last updated
07/12/2007
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