Individual
DR. BRUCE P HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 RIVERHURST RD, APT. 716, BILLERICA, MA 01821-3412
(716) 480-3624
Mailing address
5 RIVERHURST RD, APT. 716, BILLERICA, MA 01821
(716) 480-3624
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
227876
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01805316
—
NY
05
—
2122553
—
MA
Enumeration date
04/03/2006
Last updated
08/31/2009
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