MEDICARE: ANDREW HALL

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	207R00000X	Internal Medicine Physician	OS 010550 L	PA

General Provider Information

NPI Number	:	1275538381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW HALL

Provider Business Mailing Address
First Line	:	306 BROWNSDALE RD
Second Line	:	SUITE C, SECOND FLOOR
City	:	BUTLER
State	:	PA
Zip	:	16002-0424
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	620 E OHIO ST
Second Line	:	SUITE C, SECOND FLOOR
City	:	PITTSBURGH
State	:	PA
Zip	:	15212-5620
Country	:	US
Telephone Number	:	412-321-4001
Fax Number	:

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

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	03/25/2021

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Directions to “ ANDREW HALL ” Practice Location

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