G Jeffrey Hall PA

NPI 1063522555 - Physician Assistant - 363A00000X

NPI Details
NPI 1063522555
Gender Male
Enumeration Date 08/30/2006
Last Updated 09/12/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
100 CROSS KEYS OFFICE PARK
FAIRPORT NY, 14450-3509, US
Phone (585) 223-9660
Fax (585) 223-4984
Business Location
100 CROSS KEYS OFFICE PARK
FAIRPORT NY, 14450-3509, US
Phone (585) 223-9660
Fax (585) 223-4984
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 005018
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According to our database, G Jeffrey Hall PA NPI is 1063522555, taxonomy code is 363A00000X and license number is 005018, license state is located at New York. G Jeffrey Hall PA physically located at 100 Cross Keys Office Park, Fairport NY, 14450-3509. NPI Number G Jeffrey Hall PA has the Individual type.

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1063522555 NPI number is provided on an as is basis without warranty of any kind. 1063522555 is maintained by the National Plan & Provider Enumeration System. The contents of G Jeffrey Hall PA are for informational purposes only.