Individual
DAVID A HALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
143 LONGWATER DR, NORWELL, MA 02061-1683
(781) 878-5200
Mailing address
143 LONGWATER DR, NORWELL, MA 02061-1683
(781) 878-5200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
157205
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042297845
GREAT WEST
—
01
—
1659357689
NHP
—
05
—
3184200
—
MA
01
—
7741098
AETNA
—
01
—
794601
TUFTS AND TUFTS MEDICARE PREFERRED
—
01
—
9728913
CIGNA
—
01
—
AA188364
HARVARD PILGRIM
—
01
—
J19507
BCBSMA
—
Enumeration date
12/21/2005
Last updated
01/08/2014
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