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General NPI Number Information
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NPI Number | 1639237241
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Entity Type | Individual
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Provider Name | STEPHEN C HALL MD
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Gender | Male
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 06/15/2010
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Provider Practice Location Address
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Address Line | 33 OVERLOOK RD SUITE 205
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City | SUMMIT
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State | NJ
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Zip | 07901-3570
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Country | US
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Telephone | 908-522-4500
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Fax | 908-522-1222
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Provider Business Mailing Address
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Address Line | PO BOX 25
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City | MADISON
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State | NJ
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Zip | 07940-0025
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Country | US
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Telephone | 973-616-7117
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Fax | 973-616-7338
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 25MA04380000
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License Number State | NJ
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