Individual
JONATHAN DANIEL HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
92 MONTVALE AVE., SUITE 3300, STONEHAM, MA 02180
(781) 249-7930
(781) 249-2368
Mailing address
92 MONTVALE AVE, SUITE 3300, STONEHAM, MA 02180-3647
(781) 279-7930
(781) 279-2368
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
72907
MA
Other
Enumeration date
03/07/2006
Last updated
03/16/2016
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