Hall, Andrew Robert

Hall, Andrew Robert is an individual health care provider with primary practice located at 401 S Van Brunt St 3Rd Floor, Englewood NJ 07631-4604. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Hall, Andrew Robert can be contacted via phone (201) 569-2770.

Contact Information

Primary practice address
401 S Van Brunt St 3Rd Floor Englewood NJ 07631-4604
Phone: (201) 569-2770
Fax: (201) 808-6786
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 25MA09836600 New Jersey
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 25MA09836600 New Jersey
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 53918 Colorado
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X DR0053918 New York

Profile Details

NPI number 1336470640
LBN Legal business name Hall, Andrew Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2010
Last updated Jul 19th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336470640 NPPES
New Jersey MEDICAID 0320820 NON-BILLING
New Jersey MEDICAID 21530343

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