Provider Demographics
NPI:1386698124
Name:PINSKY, JEFFREY HALL (DPM)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:HALL
Last Name:PINSKY
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:5730 TURKEY OAK RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23237-3912
Mailing Address - Country:US
Mailing Address - Phone:804-748-8025
Mailing Address - Fax:804-796-9168
Practice Address - Street 1:3333 S CRATER RD
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:VA
Practice Address - Zip Code:23805-9276
Practice Address - Country:US
Practice Address - Phone:804-732-6000
Practice Address - Fax:804-796-9168
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0103-000610213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAT21902Medicare UPIN