Provider Demographics
NPI:1063491686
Name:HALL-CARRINGTON, CECEILA MERRIS (MD)
Entity type:Individual
Prefix:DR
First Name:CECEILA
Middle Name:MERRIS
Last Name:HALL-CARRINGTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CECEILA
Other - Middle Name:MERRIS
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8007 GLENSIDE DR
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-7326
Mailing Address - Country:US
Mailing Address - Phone:301-466-2318
Mailing Address - Fax:
Practice Address - Street 1:7676 NEW HAMPSHIRE AVE
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-7512
Practice Address - Country:US
Practice Address - Phone:301-431-2972
Practice Address - Fax:301-439-0008
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0045050208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD4322002 01Medicaid
MDC-652-112-298-673OtherDRIVERS LICENSE
DCG58202Medicare UPIN