Individual
DR. ROBERT J HALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4660 KENMORE AVENUE, SUITE 305, ALEXANDRIA, VA 22304-1306
(703) 751-5763
(703) 370-8704
Mailing address
224D CORNWALL ST NW STE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101230442
VA
207RG0100X
Gastroenterology Physician
Primary
0101230442
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629123096
—
VA
05
—
30015891610001
—
VA
01
—
P00759582
RR MEDICARE
DC
Enumeration date
01/24/2007
Last updated
02/18/2026
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