Healthcare Provider Details

I. General information

NPI: 1881273019
Provider Name (Legal Business Name): HALLIE ELIZABETH NORMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2021
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114R HIGHLAND AVE
SALEM MA
01970-2723
US

IV. Provider business mailing address

114R HIGHLAND AVE
SALEM MA
01970-2723
US

V. Phone/Fax

Practice location:
  • Phone: 978-745-3711
  • Fax: 978-745-6208
Mailing address:
  • Phone: 978-745-3711
  • Fax: 978-745-6208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number1026284
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: