Provider Demographics
NPI:1710962220
Name:HALL, MATTHEW D (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:D
Last Name:HALL
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
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Mailing Address - Street 1:3903 PENSHURST LN
Mailing Address - Street 2:APT # 304
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-6330
Mailing Address - Country:US
Mailing Address - Phone:703-670-3784
Mailing Address - Fax:
Practice Address - Street 1:4200 WILSON BLVD
Practice Address - Street 2:SUITE 1100
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-1800
Practice Address - Country:US
Practice Address - Phone:202-493-1226
Practice Address - Fax:202-493-1739
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD042500-E2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine