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NPI Code Detail

MEDICARE: HALLENE A MARAGH MD

MEDICARE:   HALLENE A MARAGH  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
12086S0105XSurgery of the Hand (Surgery) Physician0101040387VA
22086S0122XPlastic and Reconstructive Surgery Physician0101040387VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11538128483OTHERVAGROUP NPI

General Provider Information

NPI Number : 1720057391
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALLENE A MARAGH MD
Provider Business Mailing Address
First Line : 2621 GROVE AVE
Second Line : SUITE 202
City : RICHMOND
State : VA
Zip : 23220-4308
Country : US
Telephone Number : 804-257-7195
Fax Number : 804-254-5314
Provider Business Practice Location Address
First Line : 2621 GROVE AVE
Second Line : SUITE 202
City : RICHMOND
State : VA
Zip : 23220-4308
Country : US
Telephone Number : 804-257-7195
Fax Number : 804-254-5314
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2006
Last Update Date : 02/18/2014

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Directions to “ HALLENE A MARAGH MD” Practice Location

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