Healthcare Provider Details

I. General information

NPI: 1528717402
Provider Name (Legal Business Name): ERIN MCCOY HALL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2022
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MICHIGAN AVE NW
WASHINGTON DC
20010-2916
US

IV. Provider business mailing address

1481 SHARPS POINT RD
ANNAPOLIS MD
21409-6139
US

V. Phone/Fax

Practice location:
  • Phone: 202-476-7168
  • Fax:
Mailing address:
  • Phone: 410-212-4464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberML61293201
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License NumberMD600003939
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: