Hall, Jason

Hall, Jason is an individual health care provider with primary practice located at 830 Harrison Ave Suite 2100, Boston MA 02118. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Hall, Jason can be contacted via phone (617) 414-8054.

Contact Information

Primary practice address
830 Harrison Ave Suite 2100 Boston MA 02118
Phone: (617) 414-8054
Fax: (617) 414-8055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 211337 Massachusetts
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 227619 Massachusetts

Profile Details

NPI number 1912987413
LBN Legal business name Hall, Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Aug 26th, 2020 - about 4 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 1912987413 NPPES
Other M20470 MEDICARE - GROUP
MEDICAID 110042298A MEDICARE - GROUP

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