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NPI Code Detail

MEDICARE: MARY HALL PRS

MEDICARE:   MARY  HALL  PRS
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
1175T00000XPeer SpecialistPR0868MD

General Provider Information

NPI Number : 1700641503
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY HALL PRS
Provider Business Mailing Address
First Line : 126 PHILOSOPHERS TER
Second Line :
City : CHESTERTOWN
State : MD
Zip : 21620-1715
Country : US
Telephone Number : 443-215-5353
Fax Number : 833-615-2165
Provider Business Practice Location Address
First Line : 126 PHILOSOPHERS TER
Second Line :
City : CHESTERTOWN
State : MD
Zip : 21620-1715
Country : US
Telephone Number : 443-215-5353
Fax Number : 833-615-2165
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2024
Last Update Date : 02/20/2024

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Directions to “ MARY HALL PRS” Practice Location

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