Individual
JULIA A HALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
840 WALNUT ST, PHILADELPHIA, PA 19107-5109
(215) 928-3073
Mailing address
840 WALNUT STREET, PHILADELPHIA, PA 19107-5109
(215) 928-3073
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD435197
PA
207WX0107X
Retina Specialist (Ophthalmology) Physician
MD435197
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405341900
—
MD
Enumeration date
05/09/2006
Last updated
05/18/2017
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