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Individual

JENNIFER K HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
840 WALNUT ST, SUITE 930, PHILADELPHIA, PA 19107-5109
(215) 928-3130
(215) 592-1923
Mailing address
840 WALNUT ST, SUITE 930, PHILADELPHIA, PA 19107-5109
(215) 928-3130
(215) 592-1923

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD429089
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1894032
PA BLUE SHIELD
PA
01
2760145000
INDEPENDENCE BLUE CROSS
PA
01
797991
AETNA
Enumeration date
08/27/2006
Last updated
07/15/2008
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