MEDICARE: DR. SCOTT WILLIAM HALL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0000X	Hematology (Internal Medicine) Physician	C10006012	DE
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	C10006012	DE

General Provider Information

NPI Number	:	1013913292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT WILLIAM HALL MD

Provider Business Mailing Address
First Line	:	PO BOX 12210
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19850-2210
Country	:	US
Telephone Number	:	302-454-9830
Fax Number	:	302-454-1445

Provider Business Practice Location Address
First Line	:	4701 OGLETOWN STANTON RD
Second Line	:	STE 4200
City	:	NEWARK
State	:	DE
Zip	:	19713-2055
Country	:	US
Telephone Number	:	302-737-7700
Fax Number	:	302-737-5407

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	03/07/2011

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