Provider Demographics
NPI:1982979563
Name:HALL, MARTHA
Entity type:Individual
Prefix:
First Name:MARTHA
Middle Name:
Last Name:HALL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 SOMERSET ST
Mailing Address - Street 2:APT 229
Mailing Address - City:HARRISON
Mailing Address - State:NJ
Mailing Address - Zip Code:07029-2340
Mailing Address - Country:US
Mailing Address - Phone:845-520-0073
Mailing Address - Fax:
Practice Address - Street 1:300 SOMERSET ST
Practice Address - Street 2:APT 229
Practice Address - City:HARRISON
Practice Address - State:NJ
Practice Address - Zip Code:07029-2340
Practice Address - Country:US
Practice Address - Phone:845-520-0073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-15
Last Update Date:2012-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula